Regulation & Cost Recovery Case Inquiry Form

Free Case Evaluation. No Fee Unless We Win!

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Personal Information

* Name

* Address

City

State

Zip Code

Daytime Phone Number

Evening Phone

Mobile Phone

* E-mail Address

Case Information

What chemicals have polluted your environment?

If you know, who did the polluting and what kind of facility do they have?

How far is this facility from your home/business?

What type of pollution?

If groundwater has been polluted, do you use groundwater for

Please describe the results of all tests showing pollution of your property.

Have you incurred expenses needed to clean up your property? If so, explain.

Is a regulatory agency involved in assessing the pollution?

If you know, what steps have been taken to clean up your property?

When and how did you learn of the pollution?

Have you received a notice of violation, citation, order or deed notification regarding the pollution on your property?

Who issued it and when was it issued?

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