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Salmonella (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?)
Salmonella (food poisoning)
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Describe your complaint:
(briefly describe the damages you have suffered)
What food did you eat?
Did you eat the food at a restaurant?
Yes
No
If so, what was the name and location of the restaurant:
Were there other people with you who became ill?
Yes
No
Did you seek medical attention?
Yes
No
If yes, do you have the medical records?
Yes
No
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First name:
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Last name:
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Email address:
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Best time & way to contact you:
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