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Old South Restaurant (food poisoning)
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?)
Old South Restaurant (food poisoning)
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Describe your complaint:
(briefly describe the damages you have suffered)
Did you eat at Old South Restaurant in Camden between May 20 and May 23, 2005?
Yes
No
If yes, did you endure any illness?
Yes
No
If yes, please give details:
Were you absent from work due to this illness?
Yes
No
Did you seek medical attention?
Yes
No
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First name:
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Last name:
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Email address:
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