| Contact Information | |
|---|---|
| First Name | Ben |
| Last Name | Paulsen |
| State | |
| Work Phone | - |
| Fax | |
| benpaulsen@telus.net | |
| Alternate Email | ahgreen@telus.net |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Ben - Paulsen |
| Date of Injury | 10/11/2002 |
| Type of Injury | Traumatic |