Camp Lejeune Free Consultation🤝!…

Welcome to Legit Claim- Camp Lejeune Mass Tort Claim Form!..

Seeking Justice for Camp Lejeune Veterans and Families!..

At Legit Claim, we understand the sacrifices made by veterans and their families who were affected by the contamination at Camp Lejeune. We are committed to fighting for your rights and holding those responsible accountable. Please fill out the following form to provide us with the necessary information to assess your case and help you seek the compensation you deserve.

Prefix

First Name *

Last Name *

Phone *

Email Address *

Date Of Birth *

Street Address *

ZIP / Postal Code

Is this claim for your self or a loved one?

What is the name of the loved one?

Is the love one alive or deceased? (only if submitting for another person)

What was the date of the death? (Only if submitting for another person)

Did you live or work at Camp Lejeune for a period of 30 days or more sometime between August 1st, 1955 and December 31st, 1987?

If no, were you in utero while your mother lived or worked at Camp Lejeune sometime between August 1st, 1955 and December 31st, 1987?

What were the approximate dates of living and/or working at Camp Lejeune

Which type of cancer or medical condition or diseases have you been diagnosed with?

What was the approximate date of the cancer or medical condition diagnoses?

Do you have proof of the military at Camp lejeune or proof that you lived and/or worked on the base?

What is the proof that you have?

Do you have a lawyer currently for this? (MUST BE A NO)

Proof of Diagnoses

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Pdf, Jpg/Jpeg & Png formats supported only! File size should not be more than 10 MB..

Take the First Step towards JUSTICE!…

Thank you for choosing Legit Claim to represent you in your Camp Lejeune Mass Tort claim. Our experienced team is here to support you every step of the way. If you have any questions or concerns, please feel free to Contact Us.