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Workers Compensation Resources

Workers' compensation, also referred to as workers' comp, is a type of insurance that provides medical care and compensation for employees who are hurt while working. Workers' compensation also assists employees in filing lawsuits against their employers for the tort of negligence. Workers' compensation cover a majority, but not all, injuries suffered on the job. As most mesothelioma cases occur as a result of exposure to asbestos while on the job, some mesothelioma victims may be eligible for assistance through workers' compensation. The resources below can provide information on workers' compensation resources for anyone seeking compensation for an injury incurred while on the job, including mesothelioma or other asbestos-related afflictions. Seeking a workers' compensation claim, or any claim associated with mesothelioma or any workplace injury can e complicated, and it may therefore be in the best interest of anyone seeking workers' comp to see the advice of a competent workers' comp or mesothelioma lawyer.

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PERSONAL INFORMATION
First Name: *
Last Name: *
E-mail Address: *
Home Phone:	-- ext.
Address:

City:
State: *
Zip Code:
CASE INFORMATION
Have you been diagnosed with Mesothelioma?:	Yes No
Date of Diagnosis:
Do you have a relative Diagnosed with Mesothelioma?:	Yes No
Do you have a Pathology Report?:	Yes No
Marital Status:
Number of Children:
Are you working with an Attorney?:	Yes No
In which US state or states were you exposed?:
Case Description:

This form is secure and encrypted. More information about secure forms and your privacy here.