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Federal Emergency Management Agency (hurricane disaster relief)
Please complete this claim form to request a free case evaluation from a lawyer listed on BigClassAction.com.
Fields marked
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Defendant:
(who caused the harm?)
Federal Emergency Management Agency (hurricane disaster relief)
*
Describe your complaint:
(briefly describe the damages you have suffered)
Did you live in Louisiana, Mississippi or Alabama on August 29, 2005?
Yes
No
Was your home town declared a Federal Disaster Area?
Yes
No
Were you displaced by Hurricane Katrina?
Yes
No
Have you or will you apply for disaster housing assistance under the Stafford Act?
Yes
No
*
First name:
*
Last name:
*
Email address:
*
Confirm email address:
*
Phone number(s):
*
Zip/Postal Code:
Best time & way to contact you:
I would like to be interviewed by a journalist.
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