www.weedkillerclaim.com
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URL:
https://www.weedkillerclaim.com/?efid=050df60f5d4c4839853208986ccef9dd&requestid=660d8e69dfe44&s1=13059722-aed7-4d7e-be2e-586077...
Submission Tags: @phish_report
Submission: On April 03 via api from FI — Scanned from NL
Submission Tags: @phish_report
Submission: On April 03 via api from FI — Scanned from NL
Form analysis 1 forms found in the DOM
POST
<form novalidate="" class="form email-form contents form-labels-outside-top" method="post" data-id="element-352" data-at="form" action-xhr="https://d.fastcdn.co/submissions" data-nb-form="db973d94-30ad-4500-bca0-793a49c59fb1">
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-0" data-at="form-select-title">Were you exposed to Roundup Weed Killer?</label>
<div class="form-block-select">
<select autocomplete="off" id="field-4ec173f753987d26c4900d2a4f7c9306-0" class="form-input form-select required " data-at="form-select" name="Were you exposed to Roundup Weed Killer?" data-describedby="form-validation-error-box-element-352"
title="Were you exposed to Roundup Weed Killer?" required="" aria-required="true">
<option class="hidden" value="" disabled="" selected="">-- Select one--</option>
<option class="form-select-option" value="Yes, directly exposed" data-at="form-select-option">Yes, directly exposed</option>
<option class="form-select-option" value="Yes, indirectly exposed" data-at="form-select-option">Yes, indirectly exposed</option>
<option class="form-select-option" value="Not exposed" data-at="form-select-option">Not exposed</option>
</select>
</div>
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-1" data-at="form-select-title">How long have you used or been exposed to Roundup Weed Killer?</label>
<div class="form-block-select">
<select autocomplete="off" id="field-4ec173f753987d26c4900d2a4f7c9306-1" class="form-input form-select required " data-at="form-select" name="How long have you used or been exposed to Roundup Weed Killer?"
data-describedby="form-validation-error-box-element-352" title="How long have you used or been exposed to Roundup Weed Killer?" required="" aria-required="true">
<option class="hidden" value="" disabled="" selected="">-- Select one--</option>
<option class="form-select-option" value="Less than 1 year" data-at="form-select-option">Less than 1 year</option>
<option class="form-select-option" value="1 year" data-at="form-select-option">1 year</option>
<option class="form-select-option" value="2 or more years" data-at="form-select-option">2 or more years</option>
<option class="form-select-option" value="Not exposed" data-at="form-select-option">Not exposed</option>
</select>
</div>
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-2" data-at="form-select-title">Which of the following cancers do you suffer from?</label>
<div class="form-block-select">
<select autocomplete="off" id="field-4ec173f753987d26c4900d2a4f7c9306-2" class="form-input form-select required " data-at="form-select" name="Which of the following cancers do you suffer from?"
data-describedby="form-validation-error-box-element-352" title="Which of the following cancers do you suffer from?" required="" aria-required="true">
<option class="hidden" value="" disabled="" selected="">-- Select one--</option>
<option class="form-select-option" value="Anaplastic Large T/Null-Cell Lymphoma (T/N-ALCL)" data-at="form-select-option">Anaplastic Large T/Null-Cell Lymphoma (T/N-ALCL)</option>
<option class="form-select-option" value="B-Cell Lymphoma" data-at="form-select-option">B-Cell Lymphoma</option>
<option class="form-select-option" value="Burkitt Lymphoma (B-BL)" data-at="form-select-option">Burkitt Lymphoma (B-BL)</option>
<option class="form-select-option" value="Chronic Lymphocytic Leukemia (CLL)" data-at="form-select-option">Chronic Lymphocytic Leukemia (CLL)</option>
<option class="form-select-option" value="Diffuse Large B-Cell Lymphoma (B-DLCL)" data-at="form-select-option">Diffuse Large B-Cell Lymphoma (B-DLCL)</option>
<option class="form-select-option" value="Follicular Lymphoma (B-FL)" data-at="form-select-option">Follicular Lymphoma (B-FL)</option>
<option class="form-select-option" value="Hairy Cell Leukemia (HCL)" data-at="form-select-option">Hairy Cell Leukemia (HCL)</option>
<option class="form-select-option" value="Mantle Cell Lymphoma (MCL)" data-at="form-select-option">Mantle Cell Lymphoma (MCL)</option>
<option class="form-select-option" value="Mycosis Fungoides (T-MF)" data-at="form-select-option">Mycosis Fungoides (T-MF)</option>
<option class="form-select-option" value="Non-Hodgkin's Lymphoma (NHL)" data-at="form-select-option">Non-Hodgkin's Lymphoma (NHL)</option>
<option class="form-select-option" value="Plasmacytoma (B-PC)" data-at="form-select-option">Plasmacytoma (B-PC)</option>
<option class="form-select-option" value="Primary Central Nervous System (CNS) Lymphoma" data-at="form-select-option">Primary Central Nervous System (CNS) Lymphoma</option>
<option class="form-select-option" value="Sezary Syndrome (T-SS)" data-at="form-select-option">Sezary Syndrome (T-SS)</option>
<option class="form-select-option" value="Small Lymphocytic Lymphoma (B-SLL)" data-at="form-select-option">Small Lymphocytic Lymphoma (B-SLL)</option>
<option class="form-select-option" value="T-Cell Lymphoma" data-at="form-select-option">T-Cell Lymphoma</option>
<option class="form-select-option" value="Other Non-Hodgkin's Lymphoma (NHL) Subtype" data-at="form-select-option">Other Non-Hodgkin's Lymphoma (NHL) Subtype</option>
<option class="form-select-option" value="Other Cancer" data-at="form-select-option">Other Cancer</option>
<option class="form-select-option" value="No Cancer" data-at="form-select-option">No Cancer</option>
</select>
</div>
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-3" data-at="form-select-title">In which U.S. state do you live?</label>
<div class="form-block-select">
<select autocomplete="off" id="field-4ec173f753987d26c4900d2a4f7c9306-3" class="form-input form-select required " data-at="form-select" name="In which U.S. state do you live?" data-describedby="form-validation-error-box-element-352"
title="In which U.S. state do you live?" required="" aria-required="true">
<option class="hidden" value="" disabled="" selected="">-- Select one--</option>
<option class="form-select-option" value="AL" data-at="form-select-option">AL</option>
<option class="form-select-option" value="AK" data-at="form-select-option">AK</option>
<option class="form-select-option" value="AZ" data-at="form-select-option">AZ</option>
<option class="form-select-option" value="AR" data-at="form-select-option">AR</option>
<option class="form-select-option" value="CA" data-at="form-select-option">CA</option>
<option class="form-select-option" value="CO" data-at="form-select-option">CO</option>
<option class="form-select-option" value="CT" data-at="form-select-option">CT</option>
<option class="form-select-option" value="DE" data-at="form-select-option">DE</option>
<option class="form-select-option" value="DC" data-at="form-select-option">DC</option>
<option class="form-select-option" value="FL" data-at="form-select-option">FL</option>
<option class="form-select-option" value="GA" data-at="form-select-option">GA</option>
<option class="form-select-option" value="HI" data-at="form-select-option">HI</option>
<option class="form-select-option" value="ID" data-at="form-select-option">ID</option>
<option class="form-select-option" value="IL" data-at="form-select-option">IL</option>
<option class="form-select-option" value="IN" data-at="form-select-option">IN</option>
<option class="form-select-option" value="IA" data-at="form-select-option">IA</option>
<option class="form-select-option" value="KS" data-at="form-select-option">KS</option>
<option class="form-select-option" value="KY" data-at="form-select-option">KY</option>
<option class="form-select-option" value="LA" data-at="form-select-option">LA</option>
<option class="form-select-option" value="ME" data-at="form-select-option">ME</option>
<option class="form-select-option" value="MD" data-at="form-select-option">MD</option>
<option class="form-select-option" value="MA" data-at="form-select-option">MA</option>
<option class="form-select-option" value="MI" data-at="form-select-option">MI</option>
<option class="form-select-option" value="MN" data-at="form-select-option">MN</option>
<option class="form-select-option" value="MS" data-at="form-select-option">MS</option>
<option class="form-select-option" value="MO" data-at="form-select-option">MO</option>
<option class="form-select-option" value="MT" data-at="form-select-option">MT</option>
<option class="form-select-option" value="NE" data-at="form-select-option">NE</option>
<option class="form-select-option" value="NV" data-at="form-select-option">NV</option>
<option class="form-select-option" value="NH" data-at="form-select-option">NH</option>
<option class="form-select-option" value="NJ" data-at="form-select-option">NJ</option>
<option class="form-select-option" value="NM" data-at="form-select-option">NM</option>
<option class="form-select-option" value="NY" data-at="form-select-option">NY</option>
<option class="form-select-option" value="NC" data-at="form-select-option">NC</option>
<option class="form-select-option" value="ND" data-at="form-select-option">ND</option>
<option class="form-select-option" value="OH" data-at="form-select-option">OH</option>
<option class="form-select-option" value="OK" data-at="form-select-option">OK</option>
<option class="form-select-option" value="OR" data-at="form-select-option">OR</option>
<option class="form-select-option" value="PA" data-at="form-select-option">PA</option>
<option class="form-select-option" value="RI" data-at="form-select-option">RI</option>
<option class="form-select-option" value="SC" data-at="form-select-option">SC</option>
<option class="form-select-option" value="SD" data-at="form-select-option">SD</option>
<option class="form-select-option" value="TN" data-at="form-select-option">TN</option>
<option class="form-select-option" value="TX" data-at="form-select-option">TX</option>
<option class="form-select-option" value="UT" data-at="form-select-option">UT</option>
<option class="form-select-option" value="VT" data-at="form-select-option">VT</option>
<option class="form-select-option" value="VA" data-at="form-select-option">VA</option>
<option class="form-select-option" value="WA" data-at="form-select-option">WA</option>
<option class="form-select-option" value="WV" data-at="form-select-option">WV</option>
<option class="form-select-option" value="WI" data-at="form-select-option">WI</option>
<option class="form-select-option" value="WY" data-at="form-select-option">WY</option>
</select>
</div>
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-4" data-at="form-text-title">First Name</label>
<input id="field-4ec173f753987d26c4900d2a4f7c9306-4" class="form-input form-input-text required " data-at="form-text" type="text" name="First Name" data-describedby="form-validation-error-box-element-352" value="" title="First Name" placeholder=""
data-label-inside="First Name" required="" aria-required="true">
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-5" data-at="form-text-title">Last Name</label>
<input id="field-4ec173f753987d26c4900d2a4f7c9306-5" class="form-input form-input-text required " data-at="form-text" type="text" name="Last Name" data-describedby="form-validation-error-box-element-352" value="" title="Last Name" placeholder=""
data-label-inside="Last Name" required="" aria-required="true">
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-6" data-at="form-text-title">Phone Number</label>
<input id="field-4ec173f753987d26c4900d2a4f7c9306-6" class="form-input form-input-text required form-input-mask" data-at="form-text" type="text" name="Phone Number" data-describedby="form-validation-error-box-element-352" value=""
title="Phone Number" data-mask="(000) - 000-0000" pattern="[0-9]*" inputmode="numeric" placeholder="" data-label-inside="Phone Number" required="" aria-required="true">
<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-7" data-at="form-email-title">Email</label>
<input id="field-4ec173f753987d26c4900d2a4f7c9306-7" class="form-input form-input-text required " type="email" name="Email" data-describedby="form-validation-error-box-element-352" value="" title="Email" data-label-inside="Email"
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<label class="form-label-title form-label-outside form-label" for="field-4ec173f753987d26c4900d2a4f7c9306-8" data-at="form-textarea-title">Briefly describe what happened (optional)</label>
<div class="form-block-textarea">
<textarea id="field-4ec173f753987d26c4900d2a4f7c9306-8" class="form-input form-textarea " data-at="form-textarea" name="Briefly describe what happened (optional)" data-describedby="form-validation-error-box-element-352"
title="Briefly describe what happened (optional)" placeholder="" data-label-inside="Briefly describe what happened (optional)" aria-required="false"></textarea>
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TIME IS LIMITED TO FILE! ATTENTION: If You Have Cancer & Have Used Roundup, You May be Entitled to Significant Compensation • Roundup’s main ingredient, Glyphosate, has been proven to cause cancer by the World Health Organization • To date, the makers of Roundup have agreed to pay $11 Billion to Victims FIND OUT IF YOU QUALIFY SIGNIFICANT COMPENSATION MAY BE AVAILABLE Were you exposed to Roundup Weed Killer? -- Select one-- Yes, directly exposed Yes, indirectly exposed Not exposed How long have you used or been exposed to Roundup Weed Killer? -- Select one-- Less than 1 year 1 year 2 or more years Not exposed Which of the following cancers do you suffer from? -- Select one-- Anaplastic Large T/Null-Cell Lymphoma (T/N-ALCL) B-Cell Lymphoma Burkitt Lymphoma (B-BL) Chronic Lymphocytic Leukemia (CLL) Diffuse Large B-Cell Lymphoma (B-DLCL) Follicular Lymphoma (B-FL) Hairy Cell Leukemia (HCL) Mantle Cell Lymphoma (MCL) Mycosis Fungoides (T-MF) Non-Hodgkin's Lymphoma (NHL) Plasmacytoma (B-PC) Primary Central Nervous System (CNS) Lymphoma Sezary Syndrome (T-SS) Small Lymphocytic Lymphoma (B-SLL) T-Cell Lymphoma Other Non-Hodgkin's Lymphoma (NHL) Subtype Other Cancer No Cancer In which U.S. state do you live? -- Select one-- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY First Name Last Name Phone Number Email Briefly describe what happened (optional) See if I Qualify > MORE THAN 100,000 PEOPLE HAVE ALREADY BEEN AWARDED SETTLEMENTS WITH MORE EXPECTED SOON * The makers of Roundup have agreed to pay $11 Billion to victims, with additional settlements expected. * Common settlement amounts range from $5,000 and $250,000, depending on the case. * Multiple cases have already been awarded millions of dollars, with one couple receiving a $2 Billion settlement for their individual case TIME IS LIMITED - SEE IF YOU QUALIFY TODAY! By clicking 'See if I Qualify' and submitting my request, I confirm that I have read and agree to the privacy policy of this site and that I consent to receive emails, phone calls and/or text message offers and communications from Total Injury Help, Digital Activity, and its network of lawyers and advocates at any telephone number or email address provided by me, including my wireless number, if provided. I understand there may be a charge by my wireless carrier for such communications. I understand these communications may be generated using an autodialer and may contain pre-recorded messages and that consent is not required to utilize Total Injury Help services. I understand that this authorization overrides any previous registrations on a federal or state Do Not Call registry. Accurate information is required for a free evaluation. MANY VICTIMS HAVE ALREADY RECEIVED HUGE SETTLEMENTS FROM THE MAKERS OF ROUNDUP COUPLE AWARDED $2 BILLION IN ROUNDUP LAWSUIT A CALIFORNIA JURY HAS RULED IN FAVOR OF A COUPLE THAT USED ROUNDUP FOR DECADES TO KILL WEEDS ON THEIR PROPERTIES. BOTH THE HUSBAND AND WIFE CONTRACTED NON-HODGKIN’S LYMPHOMA AND A JURY CONCLUDED THEIR YEARS OF USING ROUNDUP CONTRIBUTED TO THE CAUSE OF THEIR CANCER. SCHOOL GROUNDSKEEPER AWARDED $289 MILLION IN ROUNDUP LAWSUIT A SCHOOL GROUNDSKEEPER WAS RECENTLY AWARDED $289 MILLION IN A LAWSUIT AGAINST MONSANTO (THE MAKERS OF ROUNDUP). THE JURY CLAIMED THAT MONSANTO HAD FAILED TO WARN CONSUMERS OF THE RISK OF USING ROUNDUP. JURY AWARDS $80 MILLION TO HOMEOWNER IN ROUNDUP LAWSUIT A HOMEOWNER THAT USED ROUNDUP FOR YEARS ON HIS PROPERTY TO COMABAT POISON OAK WAS RECENTLY AWARDED $80 MILLION. A SIX-PERSON JURY CAME TO THE VERDICT UNANIMOUSLY. THE JURY CLAIMED MONSANTO MISLED THE MAN, AND THE PRODUCT CONTRIBUTED TO CAUSING HIS NON-HODGKIN’S LYMPHOMA. Do you have cancer, and have used Roundup? See how much your claim could be worth WHAT'S MY CLAIM WORTH? Attorney Advertising Disclaimer: The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. We invite you to contact us and welcome your calls, letters and electronic mail. Contacting us does not create an attorney-client relationship. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. Prior results do not guarantee a similar outcome. Privacy Policy Terms and Conditions Thank You!