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Free 3M Earplug Case Evaluation
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Who is this for?
Myself
Loved One
Other
Do you believe you may have used defective 3M Earplugs while in the US military?
Yes
No
Unsure
Did you use them for more than 30 days?
Yes
No
Unsure
Please select your reason for using 3M Earplugs?
Military
Military Contractor
Civilian Employee
Other
Have you been diagnosed for any of the following?
Permanent ear damage
Chronic ear pain
Permanent Hearing Loss
Temporary Ear Damage
Other
Year of diagnosis?
Date of Birth
Additional Information (not required)
Are you working with another law firm in regards to this case?
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