Check If You're Eligible Today

Have You been Exposed To Roundup?

Pre-Qualify to join the $11 Billion Roundup Settlement

Did you or a loved one use Roundup Weed Killer? *

Yes

No

*LOVED ONE CAN BE FAMILY, PARTNER, OR FRIEND (LEGAL AUTHORITY MAY BE REQUIRED)

Who are you submitting this claim for? *

Myself

Deceased loved one*

Living loved one*

*LOVED ONE CAN BE FAMILY, PARTNER, OR FRIEND (LEGAL AUTHORITY MAY BE REQUIRED)

Have you or a loved one used Roundup for at least 10 hours, or 10 total times over a period of 2 years? *

Yes

No

Were you or a loved one diagnosed with any subtype of Non‑Hodgkin Lymphoma at least 1 year after using Roundup? *

Please explain your diagnosis in 2-3 sentences — this will help us know if we can assist you further with your claim. *

We're requesting this info because you answered "None of the above" to the previous question listing NHL subtypes. If you're unsure, then use the arrow at the bottom-left corner of this form to go back and review the list again.

When were you or your loved one diagnosed? *

How old were you or your loved one when the initial diagnosis was made? *

Under 50

Over 50

Are you or a loved one currently under contract with a lawyer representing your Roundup case? *

Yes

No

Have you received a settlement from any other law firm for your Roundup claim? *

Yes

No

Zip code *

State *

First Name *

Last Name *

Email *

Phone *

Session Click ID

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