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FIREFIGHTING AFFF FOAM - UNDER FIRE AS HEALTH RISK TO

FIREFIGHTING AFFF FOAM - UNDER FIRE AS HEALTH RISK TO 2026

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The document is a survey for current and past personnel of the Department of Fire and Emergency Services WA (DFES) regarding their exposure to Aqueous Film Forming Foam (AFFF). It includes sections for personal information, consent for medical testing, and questions about the frequency and context of AFFF use. The survey aims to gather data to assess potential health impacts related to AFFF exposure.

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Click ‘Get Form’ to open it in the editor.
Begin with the Declaration, Privacy & Consent section. Check both boxes to confirm your understanding and consent regarding the program and information sharing.
Fill in your Date and provide your Signature to validate your acknowledgment of the survey's purpose.
In the Consultation section, indicate if you wish to speak with a doctor about PFAS exposure by selecting the appropriate option.
Complete your Contact Details accurately, including Name, Address, Email Address, and Phone Number for effective communication.
Provide your Date of Birth and DFES Service/Volunteer ID number if known.
Answer questions regarding your gender, GP details for pathology results, DFES workforce status, service history, and frequency of AFFF usage.
Once all sections are completed, review your responses for accuracy before submitting the form via email as instructed at the end of the document.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you get VA disability for exposure to AFFF?

What are the risks of AFFF? AFFF is a key suspected source of PFAS-contamination in drinking water in Washington. Experts investigating the impacts of PFAS on peoples health have found probable links to cancers, reproductive impairment, immune system toxicity, and more.

Can you get VA disability for asbestos exposure?

If you have a health condition caused by contact with radiation during your service, you may be eligible for VA disability compensation.

What are the symptoms of PFAS in the body?

Health problems that may be associated with PFAS Fertility issues and pregnancy-induced hypertension/preeclampsia. Increased cholesterol. Changes in the immune system. Increased risk of certain cancers (e.g., testicular and kidney cancer) Changes in fetal and child development. Liver damage. Increased risk of thyroid disease.

Can you get a VA claim for PFAS exposure?

Currently, there are no presumptions related to PFAS exposure in the military. However, Veterans may file a claim for disability compensation for health problems they believe are related to exposure to chemicals during military service. VA decides these claims on a case-by-case basis. File a claim online.

Is AFFF a VA disability?

If youve suffered harm from service-connected AFFF exposure, you may be eligible to pursue VA disability benefits. In addition, you may be able to pursue an AFFF foam lawsuit against the manufacturers and distributors responsible for your illness.

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Is AFFF foam hazardous?

Class B (and class A/B) AFFF and AR-AFFF foams are all currently manufactured with intentionally added PFAS. Some new foams are being sold as fluorine-free foam, which do not contain intentionally added PFAS and may work effectively on most types of flammable liquid fires.

FIREFIGHTING AFFF FOAM - UNDER FIRE AS HEALTH RISK TO 2026

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