Parker, Waichman, Alonso LLP

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Dates you lived in a FEMA trailer following Hurricane Katrina:

Do you still live in a FEMA trailer?
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Location of FEMA trailer (State):
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Please describe illnesses you believe are from toxins such as formaldehyde in your FEMA trailer:

Have you received any medical attention for injuries from living in the FEMA trailer?
Yes
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Have you downloaded Form 95 and mailed it to us? If not please do so immediately after filling out this online form.
Yes
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Other Info:

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