Calculate Case Value Form Page Updated on March 09, 2023 Calculate Case Value Diagnosis - Select - Mesothelioma Asbestosis Lung Cancer Is Diagnosed Person Alive? - Select - Yes Passed away under 2 years ago Passed away over 2 years ago Age of Diagnosed Person - Select - Under 65 65-84 85 or older Exposure - Select - Military Occupational Second-Hand Other / Unknown Main Job Site - Select - Shipyards Boiler Rooms Powerhouses Paper Mills Construction Sites Automotive Firefighting Railroads Refineries Other / Unknown Main Asbestos Product Used - Select - Fire Protection Products Brake Pads / Linings Ceiling Textures / Tile / Plaster Electrical Products Transite Products Heating & Cooling Products Vermiculite Roofing Products Paints / Plasters / Wall Coverings Other / Unknown State - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Full Name* Phone* Any information you send is secure and will never be sold or released.