Free Khobar Towers Case Evaluation Name * First Name Last Name Email * Cell Phone (###) ### #### Relationship to Service Person * Were you or a loved one present at the Khobar Towers bombing in 1996? * Yes No Did/do you or a loved one have physical injuries resulting from the bombing? * Yes No Did you or a loved one receive a Purple Heart? * Yes No Do you or your loved one has PTSD or another mental injury resulting from the bombing? * Yes No I have a V.A. disability rating service connected to the Khobar Towers attack? * Yes No If "yes" to above, please list what the rating percentage is? Additional comments/inquiries: Thank you!
