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Did you serve anytime between 2003-2015? Did you serve anytime between 2003-2015?YesNo

Did you wear Combat Arms Earplugs? Did you wear Combat Arms Earplugs?YesNo

Did you suffer hearing loss or tinnitus? Did you suffer hearing loss or tinnitus?YesNo

Do you already have an attorney representing this claim? Do you already have an attorney representing this claim?YESNO

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