Home Super-Freeze Refrigerant Victim Questionnaire

Super-Freeze Refrigerant Victim Questionnaire

Super-Freeze Refrigerant Victim Questionnaire

If you have been victimized in the matter of Super-Freeze 22a and other flammable refrigerants, please complete this questionnaire as soon as possible. This questionnaire will help us better understand how you were victimized and aid us in our investigation. Please provide your updated contact information so we can keep you informed of potential progress of this federal investigation. As a potential victim, investigators may contact you concerning you purchase of the “refrigerant” products and document any injuries or accidents that occurred while using the product. For more information, see www.fbi.gov/stats-services/victim_assistance/super-freeze.

Check If:  



Check If:



5. How did you order your product?



7. When you purchased the refrigerant product(s), were you aware that this product was flammable Liquefied Petroleum Gas (LPG), also known as propane?


11. Was this refrigerant product purchased for personal or commercial use?


12. Was anyone injured by the refrigerant product, and/or were there any accidents while using the product?


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