Agricultural work
Farmworkers, crop dusters, and pesticide applicators who report using or being exposed to chlorpyrifos.
CHLORPYRIFOS EXPOSURE REVIEWYour history.
Your history.
A clearer next step.
A private starting point for people reviewing agricultural insecticide exposure and a Parkinson's-related condition.
Review my situation Learn about this campaignGuided questionsAll 50 statesNo obligation
YOUR SITUATIONStep 1 of 2
Understand what this review covers.
This AMMS intake gathers chlorpyrifos exposure histories from people reporting Parkinson's disease, Parkinsonism, or Parkinson's-like symptoms. You can complete it for yourself or a loved one. Symptoms alone are not a confirmed diagnosis. Every request that proceeds requires further review.
Commercial settings
People who worked at a commercial nursery, greenhouse, or golf course and report chlorpyrifos exposure.
Nearby chemical drift
People who lived directly next to an agricultural farm or nursery and report exposure through drifting chemicals.
What is chlorpyrifos?
Chlorpyrifos is an organophosphate insecticide used to control insect pests. EPA reports that it has been used in agricultural and non-agricultural settings since 1965. An exposure history does not, by itself, establish the cause of a medical condition.
Read EPA's chlorpyrifos overview (opens in a new tab)Product names you may remember
The form asks about Lorsban, Dursban, Pilot, Warhawk, Drexel, and Cobalt. A name alone does not confirm a product's ingredients. Labels and application records can help identify the exact product.
You can also select that you do not remember the brand and describe the agricultural insecticide.
The initial screening
We ask about the reported condition, diagnosis or symptom date, exposure setting and start date, product, state, and whether you already have a lawyer for a pesticide injury claim.
This campaign accepts intake requests from all 50 states. Exposure beginning before 1965, an existing lawyer for the claim, or selecting none of the listed conditions or exposure settings will stop this online intake. These are campaign screening rules, not a legal opinion.
Start with what you remember.
You do not need to upload documents to complete this form. If available, these details can help a later review.
Work and location
Employer or farm names, job duties, exposure locations, and approximate years or frequency of contact.
Product information
Product labels, purchase receipts, application logs, or the names of people who may remember what was used.
Health history
The condition reported, when symptoms began or a diagnosis was made, and the name of the treating provider.
Use the description field for a short summary. Do not include Social Security numbers, financial details, or full medical records.
What happens after you submit?
- Your request is saved. You will see a confirmation on this page after a successful submission.
- AMMS reviews your intake. The team may contact you using the details you provide to clarify the history or request further information.
- Any legal review is a separate step. A licensed attorney would need to assess the facts, applicable deadlines, and any possible claim. Representation requires a separate agreement.
AMMS is a marketing and intake service, not a law firm. Submitting does not guarantee an attorney referral, case acceptance, or compensation.
A few things to know.
Can I submit if I only have Parkinson's-like symptoms?
The form includes a symptoms-only option. Report your history accurately and use the symptom start date when asked. This does not establish a diagnosis or confirm that you have a legal claim.
What if I already have a lawyer?
This campaign does not proceed with an intake when you already have a lawyer representing you for a pesticide injury claim. Contact your existing lawyer about that claim.
What if I do not remember the brand?
You can select the agricultural insecticide option and describe what you remember. Product details may require further verification.
Can I request a review for a loved one?
Yes. Use your own contact information and explain your relationship in the details field. Share only information you are authorized to provide.
Does submitting mean my case is accepted?
No. AMMS reviews the intake information. Any legal representation requires a separate agreement with a licensed attorney.