Message

Message to nano-Control, International Foundation, about suspicion of health-problems caused by toner or pollutions from laserprinter-devices

If You suffer very often from any kind of irritation or inflammation of the skin or mucous membranes, especially of the respiratory tracts, permanent cold symptoms like sneezing, sniffing, cough, sore throat, asthma or inflammation of the eyes or skin for no apparent reason, it might be, that the toner of Your laser printer or photocopier is responsible for it. Please send us this message and we will try to help You. You will receive information in order to clarify the matter medically. This is required in order to protect oneself in the future and push through legal rights.

Please complete all required fields at least those marked with an *.

I. Personal Data

Family name *

First name *

Date of birth *

Profession *

Employer

Street *

Postcode *

City *

Nation *

Telephone (private)

Telephone (Business)

Mobil

E-Mail *

II. Problems/ Symptoms

What are the symptoms due to toner You are suffering from? Since when? which, circumstances indicating a connection with toner? Colleagues with similar symptoms?

(Brief outline of the main points please, for example: cold, burning eyes, cough since 2 years, after getting a new printer, getting better on weekends and no problems during holidays, worse in winter, colleague sneezing and sniffing permanently)

Enter please

Allergy?

Do you suffer from allergies (especially to heavy metals such as nickel, cobalt)?

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Smoker?

Please select

smoker

ex-smoker

non-smoker

III. Suspicious devices and toner?

Suspected laser printers or copiers and toner? (type, producer, original toner ?, e.g. two laser printers brand XY, type X with original toner in an office of 20 qm and a copier brand AB, type X with original toner X in the corridor, laser printer polluted with toner)

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IV. Miscellaneous, remarks?

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Thank You. Your personal data will be handled confidentially! You'll hear of us soon.

If You don't get an answer within a week please contact us.