1. Identify each branch of the military that you served in and the dates of that service.
2. List each duty station you served at between 2000-Present, along with the dates of service for each one.
3. Provide each MOS (Military Occupational Specialty) you held during service between 2000-Present, along with the dates of service for each one.
6. Did you ever use the CAEv2 earplugs, the Indoor-Outdoor Range Earplug or the EAR ARC earplug as a civilian and under what circumstances?
7. Identify the extent of any hearing loss and/or tinnitus sustained from your use of the CAEv2 earplugs:
8. When (Year) did you first notice that the CAEv2 earplug was not providing adequate protection from loud noises?
Choose Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
9. Have you had your hearing tested? If so, when, and what was the diagnosis?
10. Have you received disability benefits as a result of hearing loss or tinnitus? What is the source of those benefits?
11. How many years have you lived in your current state of residence?
12. At which duty stations did you use the CAEv2 earplugs?