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Agent Purple (hazardous side effects)
Please complete this claim form to request a free case evaluation from a lawyer listed on BigClassAction.com.
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Defendant:
(who caused the harm?)
Agent Purple (hazardous side effects)
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Describe your complaint:
(briefly describe the damages you have suffered)
What year were you born?
Did you train at CFB Gagetown in New Brunswick?
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No
If yes, do you currently have any physical ailments?
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No
If yes, please give details:
If you did not train at CFB Gagetown in New Brunswick, are you a current resident?
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No
If yes, do you currently have physical ailments?
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No
If yes, please give details:
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