The Forsaken Questionnaire — Seattle 4 Freedom

Were you harmed by the Covid vaccine mandates?

Do you want to sue those that harmed you? Please complete this brief questionnaire.

Lance Fisher - Seattle Fire Dept. named plaintiff.

Submissions to this form will update a Google Sheets spreadsheet linked to my Seattle4Freedom gmail account. The spreadsheet will be shared with YOU and your lawsuit group via email and/ or the Forsaken Signal Group created by Steve Collins. You can then share this info with your attorney to expedite filing a complaint.

Name

First Name

Last Name

Phone

(###)

###

####

Did you ever take a Covid vaccine?

Enter date in DayMonthYear format - if you don't know the date, indicate if it was post mandate announcement on 09Aug2021

Did you request a religious exemption? Were you denied religious accomodation?

Were you fired? Or forced to resign or retire?

Please include date in DayMonthYear format - Ex. 11Nov2021

What agency / employer did you work for?

Ex. WSP, WA DOC, Seattle Police Dept. ex

Have you filed Tort claims yet?

Please respond YES or NO. If yes indicate what types and the date filed.

Do you already have an agreement with another attorney with regard to vax mandate representation? Have you spoken with an attorney already?

Please answer both questions. Be specific, attorney name, etc.