Your responses to this Questionnaire are confidential and will be reviewed
only be an attorney for the purpose of assessing the merits of your potential
qui tam claim.
Please note that information sent via the internet may not be secure.
Therefore, DO NOT submit this questionnaire via the internet. Instead,
please print it and fax it to (312) 283-5005 or mail it to:
Law
Office of Tracy L. Netzel
P.O. Box 75
Sherwood, WI 54169 You will need Adobe Acrobat Reader to open the file. If you do not already
have it, you can download it here:
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