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Many women used chemical relaxers for years without knowing the risks. By completing this brief form, you’re giving our team the details we need to assess your situation and determine if you may qualify for compensation. Your information remains confidential and secure.

YOUR ANSWERS HELP US ADVOCATE FOR YOU

YOUR ANSWERS HELP US ADVOCATE FOR YOU

Many women used chemical relaxers for years without knowing the risks. By completing this brief form, you’re giving our team the details we need to assess your situation and determine if you may qualify for compensation. Your information remains confidential and secure.

1. Have you used chemical hair relaxers or straighteners? Required
Yes
No
2. How often did you use these products? Required
3. Approximately how many years did you use these products? Required
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