How can we help you? Contact a toxic exposure attorney about "forever chemicals" per- and polyfluoroalkyl substances (PFAS) or aqueous film-forming foam (AFFF) by completing the form below today or call 1.800.768.4026. Name Telephone Number Email Address What state do you live in Were you exposed to per- and polyfluoroalkyl substances (PFAS) "forever chemicals," either through aqueous film-forming foam (AFFF) or another source? Choose all applicable. Yes, exposed as a fire fighter to foam Yes, exposed as a fire fighter to bunker gear Yes, exposed through water consumption Yes, exposed through another source. Explain below No Were you diagnosed with any of the following conditions after exposure? Blood cancer (Leukemia, Multiple Myeloma, Non-Hodgkin Lymphoma) Breast cancer Kidney cancer Kidney disease Liver cancer Ulcerative colitis Pancreatic cancer Prostate cancer Testicular cancer Thyroid cancer Thyroid disease Cancer, other Enter type of cancer Year of diagnosis: Tell us about your potential case (500 character limit) By submitting this form, I agree that Motley Rice LLC may collect my information and use it pursuant to its privacy policy. Yes No If you do not agree with our website privacy policy please call 1.800.768.4026 to discuss your potential case. CAPTCHA Math question 3 + 10 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Leave this field blank