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About
Our Firm
Leadership/Steering Committees
Gregory D. Rueb
Paul L. Stoller
Stephen “Buck” Daniel
Awards & Memberships
Referring Attorneys
Careers
Mass Tort
Cases We Handle
2025 LA County Wildfires
AFFF Fire Fighting Foam
Button Battery Ingestion
Depo-Provera
Fisher-Price Baby Sleeper
Georgia BioLab Plant Fire
Hair Straightener
Hernia Mesh
Hip Replacement
IVC Filter
Lahaina Fires
Medtronic Heartware HVAD
NEC Infant Formula
Oxbryta
Ozempic
Paragard IUD
Paraquat
Roundup
Sexual Abuse
Suboxone
Talcum Powder
Transvaginal Mesh
Truvada
Valsartan
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Atlanta
Boston
Los Angeles
Phoenix
Washington, D.C.
San Francisco
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Resources
Blog
FAQ
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Contact
About
Our Firm
Leadership/Steering Committees
Gregory D. Rueb
Paul L. Stoller
Stephen “Buck” Daniel
Awards & Memberships
Referring Attorneys
Careers
Mass Tort
Cases We Handle
2025 LA County Wildfires
AFFF Fire Fighting Foam
Button Battery Ingestion
Depo-Provera
Fisher-Price Baby Sleeper
Georgia BioLab Plant Fire
Hair Straightener
Hernia Mesh
Hip Replacement
IVC Filter
Lahaina Fires
Medtronic Heartware HVAD
NEC Infant Formula
Oxbryta
Ozempic
Paragard IUD
Paraquat
Roundup
Sexual Abuse
Suboxone
Talcum Powder
Transvaginal Mesh
Truvada
Valsartan
Locations
Atlanta
Boston
Los Angeles
Phoenix
Washington, D.C.
San Francisco
San Diego
Resources
Blog
FAQ
Glossary
Results
Contact
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Please Share Your Experience With Us
Did you or the injured party, suffer injuries, emotional distress, loss of income and/or property damages as a result of the LA County fires in January of 2025?
Yes
No
What fire was responsible for damage
Palisades
Eaton
Hurst
Woodley
Tyler
Olivias
Lidia Sunset
Kenneth
Other:
Did you experience any of the following as a result of the fire?
Physical Injury
Personally Present at time of fire and suffered from Emotional Distress
Property Damage
Personal Property Damage
Loss of Livestock
Business Loss
Loss of Income
None of the Above
Was the Injured Party in LA County at the time of the fires or did they own a home or business located in LA County at the time of the fires??
Yes
No
Are you able to provide IRS/Bookkeeping records showing a loss of income as a result of the fire?
Yes
No
Date you were impacted by the fire:
Please explain how you were impacted by the fire:
Are you currently represented by an attorney regarding this matter?
Yes
No
If you are not the injured party, do you have legal authority to act on their behalf?
Yes
No
N/A
Did the injured party flee from the fire?
Yes
No
Was the injured party evacuated?
Yes
No
If you have suffered from any emotional distress as a result of the fire, please explain.
If the injured party has suffered injuries as a result of the Maui wildfires, please explain.
If injured party suffered injuries, date of injury:
If the injured party has suffered injuries or emotional distress as a result, have they sought any treatment to date?
Yes
No
If yes, when did the injured party receive treatment?
What is the Name, Address and Phone Number of the facility and/or doctor the injured party sought treatment from?
If yes, what type of treatment has the injured party received?
What is the address of the treatment facility?
If you have suffered property damage as a result of the fire, please explain.
If there was property damage, what is an approximate cost of the total damages incurred?
If property damage, was the property insured?
Yes
No
If property damage, what is the address of the property?
If income loss, what is the estimated total of income loss?
If income loss, employer name and address:
If business loss, please explain:
If business loss, name of business:
If business loss, business Address:
If personal property damage, please explain:
If personal property damage, address/location where property was damaged:
If livestock loss, please explain:
If livestock loss, address/location of loss:
Have you ever gone by another name or alias? If so what other name did you go by?
If authorized representative of the Injured Party, what is your SSN?
Injured Party SSN
Best time to contact?
Preferred method of contact?
Please list an Emergency Contact that the legal team has permission to contact if we were unable to reach you regarding your claim
Emergency contact phone number:
Emergency contact relationship to PC:
Submit
About
Our Firm
Leadership/Steering Committees
Gregory D. Rueb
Paul L. Stoller
Stephen “Buck” Daniel
Awards & Memberships
Referring Attorneys
Careers
Mass Tort
Cases We Handle
2025 LA County Wildfires
AFFF Fire Fighting Foam
Button Battery Ingestion
Depo-Provera
Fisher-Price Baby Sleeper
Georgia BioLab Plant Fire
Hair Straightener
Hernia Mesh
Hip Replacement
IVC Filter
Lahaina Fires
Medtronic Heartware HVAD
NEC Infant Formula
Oxbryta
Ozempic
Paragard IUD
Paraquat
Roundup
Sexual Abuse
Suboxone
Talcum Powder
Transvaginal Mesh
Truvada
Valsartan
Locations
Atlanta
Boston
Los Angeles
Phoenix
Washington, D.C.
San Francisco
San Diego
Resources
Blog
FAQ
Glossary
Results
Contact
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AFFF Fire Fighting Foam
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