PCB Questionnaire #2

If you prefer not to fill out the questionnaire electronically, you can download and print the questionnaire (PDF).

The questions below apply to the persons who are already clients of Rutledge & Yaghmai in the Abernathy Case. Please answer a separate questionnaire for each member of the household. Please answer a separate questionnaire for minor children.

Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Email
Did you receive any money from the settlement of the Abernathy case?
- Yes
- No
If your answer to the previous question is Yes, state the full amount that you received.
State the physical condition for which you received money, if you received it for personal injuries:
If you received money for property damages, state the property damage for which you received that money.
Did you receive whatever money you received in the form of a check?
- Yes
- No
Have you ever had a personal, one-on-one conversation with any lawyer other than Rutledge or Yaghmai about the Abernathy case?
- Yes
- No
If your answer to the previous question is yes, please answer the following:
Name of Lawyer
Approximate Amount of Time You Spent Talking to the Lawyer
What each of you said to the other
Do you know whether or not you signed a release in this case which gave up all of your claims against the corporations that spread the PCBs as well as the lawyers and their employees?
- Yes
- No
If so, do you have a copy of the release?
- Yes
- No
Are you satisfied with the amount you received as a result of the Abernathy case?
- Yes
- No
If your answer to the previous question is 'No', and you are not satisfied, state in a few words the reason(s) you are not satisfied.

PCB Questionnaire #2

If your answer to the previous question is yes, please answer the following: