Registration Form - Recours tabac

Who has been diagnosed with a smoking-related illness?

Who has been diagnosed with a smoking-related illness?

Myself.

A tobacco victim (dead or alive) whom I represent.

No one in particular. I simply want to keep abreast of developments in the case.

Do you believe you were diagnosed with lung cancer, throat cancer, emphysema or COPD (grades III or IV) before 2013?

Do you believe you were diagnosed with lung cancer, throat cancer, emphysema or COPD (grades III or IV) before 2013?

Yes.

I'm not sure.

No.

Do you believe the tobacco victim was diagnosed with lung cancer, throat cancer, emphysema or COPD (grades III or IV) before 2013?

Do you believe the tobacco victim was diagnosed with lung cancer, throat cancer, emphysema or COPD (grades III or IV) before 2013?

Yes.

I'm not sure.

No.

Did the tobacco victim die?

Yes.

No.

Did the tobacco victim die after November 20, 1998?

Did the tobacco victim die after November 20, 1998?

Yes.

No.

If you are an heir, have you renounced the estate?

Yes.

No.

Not applicable.

I'm not sure.

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