Rockton Chemtool Fire Questionnaire – Business

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Has your business been affected by the Chemtool fire? If so, how?(Required)

Were you required to leave your business, or was your business required to close due to the fire? If so, for how long?(Required)

Is your business still being interrupted/closed?(Required)

UntitledWas the structure of your business affected by the fire? If so, how was it affected?(Required)

This field used to prevent automated submissions, do not fill out

This field is for validation purposes and should be left unchanged.

Fighting Back: How a Complex Litigation Lawyer Can Help Victims of False Advertising
Who Decides When You Return to Work After a Workers’ Compensation Claim?
Power Tool Defects: 4 Steps to Take After a Faulty Power Tool Accident
7 Red Flags to Look for on Employment Contracts
Workers’ Compensation Benefits: The Difference Between Partial and Total Disability

10 West State Street, Suite 200
Geneva, IL 60134

Website developed in accordance with Web Content Accessibility Guidelines 2.1.
If you encounter any issues while using this site, please contact us: 630.232.7450