Gulf War Illness Public Inquiry

The Inquiry wishes to give all interested parties the opportunity to share their experiences, knowledge and expertise for review. The information you provide will assist the Inquiry to decide if more detailed written evidence is required or whether or not you should be called to give oral evidence.

Please note, the form can be completed and submitted on-line or printed off and posted or faxed to the Gulf War Illnesses Public Inquiry. Details of the postal address can be found on the Contacts page.

Your Details
Title
First Name*
Last Name*
Job Title
Company/Organisation
Address


City/Town
State (US only)
Postcode/Zip
Country
Telephone*
Email*
	* - mandatory fields

If appropriate, which regiment and or section did you serve with in The British Armed Forces in the 1990/91 Gulf War? (Reservists and dependants are also requested to complete this question)

Have you ever given evidence on any previous inquiry or panel review in connection with Gulf War Illnesses, and if so what was the Inquiry and when did you give your evidence?

Are you willing for either your written evidence or, if you are selected to give oral evidence, to be published by the Inquiry?

If you are not a Gulf War Veteran, do you feel your experiences, knowledge and or expertise (including research) could be useful to the inquiry? And if so why? Please describe in no more than 500 words.

For Gulf War Veterans and dependants. In the space below would you please detail in no more than 500 words your experience, knowledge or expertise in connection with the deployment of British Troops during the first Gulf War of 1990/91. Would you please describe as best as possible the following: dates, times, places, medical immunisation information, exposure to contaminants, medical conditions/symptoms before, during and after (both diagnosed and undiagnosed) the first Gulf War, and other relevant information.

Please do not send any personal items (such as medical records, photos etc) to the Inquiry office with your submission of evidence form. These items may be required at a later stage if it is deemed necessary by the inquiry.