File A Claim Paraquat Lawsuit FILL OUT THE FORM BELOW TO GET YOUR FREE CLAIM REVIEW Paraquat Lawsuit Case TypeParaquatHave you ever mixed, sprayed or loaded paraquat? Yes NoDo You have Medical proof of your condition? Yes NoHave you been diagnosed with Parkinson’s disease? Yes NoWhat condition were you diagnosed with after your Paraquat exposure? Parkinson’s or DQ? Yes NoWhen did You get diagnosed?- Select -TodayThis WeekThis MonthMore tha n 30 days agoThis yearMore than 2 years agoWhat year did you first begin using, mixing, or applying an herbicide containing Paraquat, and how many total days have you handled it in your lifetime? Who diagnosed you? Who is the doctor that treated and diagnosed you?What medications are you taking? Are you currently an inmate of a prison or jail?Please provide the name of Your treatment facility.Have you purchased PQ from Home Depot, Walmart, or Lowes? This product is ONLY used in commercial farm settings No YesDo you currently have a lawyer representing your claim? No YesFirst Name & Last NameEmailPhone NumberStreet AddressAddressAddress Line 1CityStateZip Code I would be needing help to file a settlement. I agree to the Privacy Policy and disclaimer and give my express written consent, affiliates and/or attorneys to contact you at the number provided above, even if this number is wireless or if I am presently listed on a Do Not Call list. I understand that I may be contacted by telephone, email, text message, or mail regarding case options and that I may be called using automatic dialing equipment. Message and data rates may apply. I don't need to purchase my consent. This is Legal advertising. I understand I will be asked for medical records, and if falsified, I will be held liable for knowingly providing false information and the Law Firm reserves the right to seek all available remedies under the law.Submit Form