Roundup Cancer Case Evaluation, Case Evaluation

[1.] Diagnosis
Have you or a loved one been diagnosed with Non-Hodgkin's Lymphoma after 2013?*
- Yes
- No
This may include B-Cell Lymphoma, Diffuse large B-cell Lymphoma (DLBCL), Follicular Lymphoma, Chronic Lymphocytic Leukemia (CLL) / Small Lymphocytic Lymphoma (SLL), Mantle Cell Lymphoma (MCL), Marginal Zone Lymphomas, Burkitt Lymphoma, Lymphoblastic Lymphoma, Hair cell leukemia (HCL), Primary central nervous system (CNS), Lymphoma, T-Cell Lymphoma, Precursor T-Lymphoblastic Lymphoma/Leukemia, Peripheral T-cell Lymphoma, Cutaneous T-cell Lymphoma, Adult T-cell leukemia Lymphoma (ATL), Extranadal natural killer/T-cell lymphoma (nasal type), Enteropathy-associate intestinal T-cell lymphoma, and Anaplastic large cell Lymphoma (ALCL)
Did you use Roundup for 12 days consecutively or at least 30 days total per year?*
- Yes
- No

[2.] Additional Information
Do you have medical records available?
- Yes
- No
- Unsure
Are you currently being represented by another law firm regarding this case?*
- Yes
- No
Please list any additional details of you (or your loved ones) diagnosis, roundup exposure, add any additional information that will help us determine if you or your loved one qualifies for compensation.

[3.] View Report
See your instant case analysis report upon submission of this form.
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Case Evaluation