Did you develop Non-Hodgkin Lymphoma (NHL), Leukemia, or another type of cancer from Roundup exposure? *

NHL

Leukemia

Other type of cancer

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Yes, a loved one

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Leukemia Types *

Adult T-Cell Leukemia

Aggressive NK-Cell Leukemia

B-Cell Prolymphocytic Leukemia

Chronic Lymphocytic Leukemia

Hairy Cell Leukemia

T-Prolymphocytic Leukemia

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Select the type of cancer from the list below: *

Non-Hodgkin Lymphoma
Adult T-Cell Lymphoma/Leukemia (T-ATLL)
Aggressive NK-Cell Leukemia (NK-AL)
Anaplastic Large T/Null-Cell Lymphoma, ALK-Negative (T/N-ALCL-NEG)
Anaplastic Large T/Null-Cell Lymphoma, ALK-positive (T/N-ALCL-ALK)
Blastic Mantle Cell Lymphoma (B-BMCL)
B-Cell Prolymphocytic Leukemia (B-PLL)
B-Lymphoblastic Lymphoma (BP-LBL)
Burkitt Lymphoma (B-BL)
Chronic Lymphocytic Leukemia (B-CLL)
Cutaneous CD4-Positive Small/Medium T-Cell Lymphoma (T-CCD4SML)
Cutaneous CD5-Positive Aggressive Epidermotropic Cytotoxic T-Cell Lymphoma (T-CD8BECL)
Diffuse Follicle Center Lymphoma, Grade 1 (B-DFL-1)
Diffuse Follicle Center Lymphoma, Grade 2 (B-DFL-2)
Diffuse Large B-Cell Lymphoma, ALK positive (B-DLCL-ALK)
Diffuse Large B-Cell Lymphoma, anaplastic (B-DLCL-AP)
Diffuse Large B-Cell Lymphoma, cleaved (B-DLCL-C)
Diffuse Large B-Cell Lymphoma, Double Hit (B-DLCL-DH)
Diffuse Large B-Cell Lymphoma, Epstein-Barr virus-positive (B-DLCL-EBV)
Diffuse Large B-Cell Lymphoma, immunoblastic plasmacytoid (B-DLCL-IP)
Diffuse Large B-Cell Lymphoma, immunoblastic, not otherwise specified (B-DLCL-INOS)
Diffuse Large B-Cell Lymphoma, intravascular type (B-DLCL-IV)
Diffuse Large B-Cell Lymphoma, lymphomatoid granulomatosis (B-DLCL-LG)
Diffuse Large B-Cell Lymphoma, noncleaved (B-DLCL-NC)
Diffuse Large B-Cell Lymphoma, not otherwise specified (B-DLCL-NOS)
Diffuse Large B-Cell Lymphoma, plasmablastic (B-DLCL-PB)
Diffuse Large B-Cell Lymphoma, primary effusion type (B-DLCL-PEL)
Diffuse Large B-Cell Lymphoma, T-Cell/histiocyte-rich (B-DLCL-THR)
Enteropathy-Type T-Cell Lymphoma (T-EATL)
Extranodal Marginal Zone B-Cell Lymphoma, MALT Type (B-EMZL)
Follicular Lymphoma in situ (B-FL-IS)
Follicular Lymphoma, Grade 1 (B-FL-1)
Follicular Lymphoma, Grade 2 (B-FL-2)
Follicular Lymphoma, Grade 3 (large cleaved cell) (B-FL-3.1)
Follicular Lymphoma, Grade 3 (large noncleaved cell) (B-FL-3A)
Follicular Lymphoma, Grade 3 (large noncleaved cell) (B-FL-3B)
Follicular Lymphoma, Grade 3 (small noncleaved cell) (B-FL-3.2)
Hairy Cell Leukemia (B-HCL)
Hairy Cell Leukemia Variant (B-HCL-V)
Hepatosplenic T-Cell Lymphoma (T-HSGDL)
Lymphoplasmacytic Lymphoma (B-LPL)
Mantle Cell Lymphoma in situ (B-MCL-IS)
Mycosis Fungoides (T-MF)
Mycosis Fungoides, Transformed (T-MF-T)
Multiple Myeloma
Nasal NK/T-Cell Lymphoma (NK/T-NL)
Nodal Mantle Cell Lymphoma (B-NMCL)
Nodal Marginal Zone B-Cell Lymphoma (B-NMZL)
Peripheral Gamma-Delta T-Cell Lymphoma (T-PGDL)
Peripheral NK/T-Cell Lymphoma (NKIT-PL)
Peripheral T-Cell Lymphoma, Angioimmunoblastic (T-PTCL-AI)
Peripheral T-Cell Lymphoma, Follicular (T-PTCL-F)
Peripheral T-Cell Lymphoma, Large Cell (T-PTCL-LC)
Peripheral T-Cell Lymphoma, Lymphoepithelial (T-PTCL-LE)
Peripheral T-Cell Lymphoma, Mixed Cell (T-PTCL-MC)
Peripheral T-Cell Lymphoma, Unclassifiable (T-PTCL-UC)
Plasma Cell Dyscrasia (B-PCD)
Plasma Cell Myeloma (B-PCM)
Plasmacytoma (B-PC)
Primary Cutaneous CD30-Positive Myeloproliferative Disorder (T-PCLPD-CD30)
Sezary Syndrome (T-SS)
Small Lymphocytic Lymphoma (B-SLL)
Splenic Diffuse Red Pulp Small B-Cell Lymphoma (B-SDRPL)
Splenic Marginal Zone B-Cell Lymphoma (B-SMZL)
Subcutaneous Panniculitis-Like T-Cell Lymphoma (T-SPTL)
T-Cell Granular Lymphocytic Proliferation (T-GLP)
T-Lymphoblastic Lymphoma (TP-LBL)
T-Prolymphocytic Leukemia (T-PLL)
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Has your loved one passed away? *

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What year did they pass? *

2025

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Name of the deceased *

Date of death *

US State where they passed *

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Exposer type *

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Time between first use and diagnosis *

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Thank you for your response. Since your loved one is still living, the family member must contact us directly to proceed. Please reach out to us at (800-315-3806)

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