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The Case
The Defendants
Court Updates
About Us
Join the Fight
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you a Veteran or a family member of an injured Veteran?
*
If you are not the injured, please provide your name and relationship to the injured.
Attack Date Causing Physical Injury
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Attack City / FOB
*
Attack Province
*
Attack Type
*
EFP
IED
Rocket
Mortar
Suicide Bomb
RPG
Small Arms
Other
Does the attack match one of the following location and date ranges?
*
Army Canal - Baghdad - 2007-2008
Baqubah - 2005-2011
Basra - 2006-2011
Camp Victory - Baghdad - 2007
Diwaniya - FOB - Diwaniya - 2007
Doura (dora) - South Baghdad - 2006-2009
Fallujah - 2004-2007
FOB Loyalty - Baghdad - 2006-2008
Hadithah - 2004-2007Hit - 2004-2007
Kadhimiya - Shaab - North West Baghdad - 2007-2008
Mosul - 2003-2011
Ramadi - 2004-2007
Rustumiya - Camp Rustumiya - Central Baghdad - 2007-2008
Sadr City - 2004-2011
Taji - North of Baghdad - 2007
OTHER
Attack Details (Including dates of additional attacks)
*
Do you have reports and/or Awards/Medals that reference the attack?
*
If yes, please provide the name of the report or note any explanation for no.
*
Do you have any photos/videos showing the attack or aftermath?
*
If yes, please provide the details.
Are you aware of any other person(s) injured as a result of the attack? If so, please provide names.
Are you aware of any person(s) who was killed during this attack? If so, please provide the names:
Are you aware of any other witnesses to this attack? If so, please provide the names
Please provide your injury details.
*
Did you receive a Purple Heart as a result of the attack?
*
Yes
No
Thank you for submitting! Someone from our team will get back with you shortly.