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New York State (Sprayground Water Park Illness)
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?)
New York State (Sprayground Water Park Illness)
*
Describe your complaint:
(briefly describe the damages you have suffered)
Did you attend the Seneca Lake Sprayground between June 2005 and August 2005?
Yes
No
Please specify the date you attended the water park?
Did anyone in your party become ill?
Yes
No
Did they seek medical attention?
Yes
No
If yes, do you have medical records?
Yes
No
*
First name:
*
Last name:
*
Email address:
*
Confirm email address:
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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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