File A Claim PFAS Lawsuit FILL OUT THE FORM BELOW TO GET YOUR FREE CLAIM REVIEW PFAS Lawsuit Case TypePFAS Lawsuithave you drank the contaminated water for a minimum of 6 consecutive months? Yes NoHave you been diagnosed with Kidney Cancer, Testicular Cancer, Ulcerative Colitis, or Liver Cancer? Yes NoDo You have Medical proof of your condition? Yes NoWhen were you diagnosed ?- Select -TodayThis WeekThis MonthMore than 30 days agoThis YearMore than 2 years agoPlease provide the name of Your treatment facility.What specific diagnosis did you receive after consuming PFAS-contaminated water?When were you diagnosed?Treatment Facility/Address/Phone Number Do you have Valid ID and SSN number? 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
