The first step in filing a claim is to properly complete and file a Form 95 with the appropriate government agency. The Form 95 is a complex and lengthy form and should be filled out very carefully.
  • Form 95 claims are routinely denied on small technical grounds so it is extremely important that you have your claim reviewed by an attorney.
  • If you decide to consult with an attorney, he or she should be extremely familiar with the technicalities and evolving case law surrounding the Form 95 as the information and necessary supporting documentation will vary with each individual claimant.
  • You should have your From 95 claim reviewed even if you have already filed one to see if any amendments need to be made or particular supporting documents need to be forwarded.
  • The FTCA has its own Statute of Limitations. Even if you think your Form 95 claim may be time barred, you should have it reviewed by an attorney in order to make that determination and to determine if there are any potential exceptions in your case.
Remember, failure to file a Form 95 in a timely manner will bar you from seeking damages against the United States Military!
* = Required Field
* Full Name:  
* What is your e-mail address?  
* What years you were at Camp Lejeune?  
* Did you live on base? Where?  
* If you did not live on base, where did you live?  
* What injuries have you suffered that you think might be tied to the exposure to the poisoned waters?:  
* Are there others in the family that have suffered as a result of the exposure?:  
* Were you in the military?  
* Have you been diagnosed with any particular cancers (please include date of diagnosis)?:  
* Have you or your children suffered from any birth defects?:  
* Are you or have you ever been represented in this matter?  
* Have you ever applied for VA benefits related to your injuries? What was the result?  
* Where do you currently live and what numbers are best to get a hold of you?  
* What is your current contact information (phone and address)?  
* When is the best time to call?  





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