Kelley / Uustal
Engle Fund Claim Questionnaire

If you would like us to evaluate your Engle Trust Fund claim to determine whether or not we can help you, please answer the following questions. If you have another type of case that you would like us to evaluate for another matter please use our standard case evaluation form.

Information About You

Your Name
Your Address
Your City:
Your State
Your Zip
Your Phone Number
Your Email Address
Please choose the type of CLAIM to proceed:
Claim is about my OWN tobacco related illness Claim is about someone ELSE'S tobacco related ILLNESS Claim is about someone ELSE'S tobacco related DEATH