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Silicosis Exposure Attorney

Professional Areas where potential exposure can occur

construction (sandblasting, rock drilling, masonry work, jack hammering, tunneling)
stone cutting (sawing, abrasive blasting, chipping, grinding)
glass manufacturing
mining (cutting or drilling through sandstone and granite)
agriculture (dusty conditions from disturbing the soil, such as plowing or harvesting)
foundry work (grinding, moldings, shakeout, core room)
shipbuilding (abrasive blasting)
ceramics, clay, and pottery
railroad (setting and laying tracks)
manufacturing of soaps and detergents
manufacturing and use of abrasives

If you have questions regarding a possible silicosis claim, or would like to speak with an attorney regarding your rights, please fill out our form below. Once you provide us with the following information, your free consultation form will be sent to an experienced personal injury lawyer for evaluation. That lawyer will review your form in accordance with the site terms and conditions and may contact you to discuss your case. There is no cost or obligation for this free service.

Boston Silicosis Exposure Lawyers

Free Silicosis: Potential Exposure Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Silicosis Information:

Have you or a loved one been diagnosed with Silicosis?	Yes No
If yes, what was the date of diagnosis?
If yes, do you believe Silicosis was a result of exposure at work?	Yes No

If yes, please describe occupation when Silica exposure
may have occured:

If yes, please list name and address of employer:

When were you employed above mentioned employer:
When do you suspect Silica exposure occured:	*
Did work exposure cause any other medical problems?	Yes No

Other medical problems believed to have been
caused by work exposure:

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
Is there anything else that would assist us in
understanding the facts of your case?

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