/* growform client2 bundle.url: https://assets.growform.co/600c4b6-mh1yed1o/form.bundle.js resolve.source: kv resolve.at: 2025-10-22T13:07:34.090Z form.source: api cache.age_ms: 0 kv.value_present: true fallback_used: false */ ;(function () { var EMBED_TYPE = "iFrame"; var FORM_ID = "6603493487c5d1000b16a743"; var FORM_BUNDLE_URL = "https://assets.growform.co/600c4b6-mh1yed1o/form.bundle.js"; // injected by worker (KV/memory/fallback) var FORM_DATA = {"data":{"form":{"_id":"6603493487c5d1000b16a743","steps":[{"id":"d9026760c52caae10ab4d032","name":"Have You used Round Up","sortOrder":1,"copyOf":"66e3c3c17a3e2346f92b931a"},{"id":"ac0ce1d8634334328d03ff33","name":"Cancer","sortOrder":2,"copyOf":"8d53a2591d86a402dbecf0d3"},{"id":"60c2d61a66a74bcb70ce6e49","name":"Year of Diagnosis","sortOrder":3,"copyOf":"acd45227cac332d443c4e1db"},{"id":"acd45227cac332d443c4e1db","name":"Lawyer","sortOrder":4},{"id":"0652028f45e1cd0d4eb7f648","name":"Details","sortOrder":5,"copyOf":"acd45227cac332d443c4e1db"},{"id":"ae0c5e60366488fe33f3f97d","name":"Delay","sortOrder":6}],"formName":"Roundup","fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"Thanks for your enquiry!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":17,"unit":"px"},"fontWeight":"Normal"},"margins":{"marginTop":10},"stepId":"complete"},"Decorative Header_797442086161467":{"type":"Decorative Header","value":"Do you or a loved one currently have a lawyer representing your claim?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":17,"unit":"px"},"fontWeight":"Normal"},"stepId":"acd45227cac332d443c4e1db"},"Decorative_Paragraph_194067845817258":{"type":"Decorative Paragraph","value":"Thanks for getting in touch. We'll be in touch about your claim in the next working day.","width":12,"step":"complete","sortOrder":2,"margins":{"marginBottom":60},"stepId":"complete"},"decorative_header_892646863007116":{"type":"Decorative Header","value":"What was the year of diagnosis?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":17,"unit":"px"},"fontWeight":"Normal"},"stepId":"60c2d61a66a74bcb70ce6e49","margins":{"marginBottom":5}},"decorative_header_936751498719106":{"type":"Decorative Header","value":"Final Step!","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":17,"unit":"px"},"fontWeight":"Normal"},"stepId":"0652028f45e1cd0d4eb7f648"},"decorative_header_503429670737739":{"type":"Decorative Header","value":"Have you or a loved one been diagnosed with any of these cancers after using RoundupĀ®?","width":12,"step":1,"sortOrder":1,"fieldStyle":{"fontSize":{"value":17,"unit":"px"},"fontWeight":"Normal"},"stepId":"ac0ce1d8634334328d03ff33","margins":{"marginBottom":5},"location":null},"decorative_header_616826855528502":{"type":"Decorative Header","value":"Have you used or been exposed to RoundupĀ® for over 1 year?","width":12,"step":1,"sortOrder":1,"fieldStyle":{"fontSize":{"value":19,"unit":"px"},"fontWeight":"Bold"},"stepId":"d9026760c52caae10ab4d032","margins":{"marginBottom":5},"location":null},"buttons_983099256004711":{"type":"Buttons","validationRules":{"required":false},"label":"ru_exposed","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"imageStyles":{},"options":[{"text":"Yes","id":"8544a16536ee9d960ee749e9"},{"text":"No","id":"fcb043be34f7b3bbe33b1f4c"}],"stepId":"d9026760c52caae10ab4d032","sortOrder":2,"hideLabel":true},"single_select_110248568296313":{"type":"Single Select","width":12,"label":"ru_year","options":[{"text":"2001 or earlier","id":"b5a5783e8eba0c147f7d4957"},{"text":"2002","id":"21117c6d6b7fbd73fedfed0f"},{"text":"2003","id":"7c7b777d52cd0c27994a30ce"},{"text":"2004","image":null,"id":"935e2dea5610516cbd8d135a"},{"text":"2005","image":null,"id":"f1621e06bbf3639d00995d1e"},{"text":"2006","image":null,"id":"6ec493e895fcf81dc3cf773d"},{"text":"2007","image":null,"id":"bd475ee093113f8573a73c12"},{"text":"2008","image":null,"id":"918231311e08ddd84e6c9cc3"},{"text":"2009","image":null,"id":"c42c1b2ec4bb2fa473bada78"},{"text":"2010","image":null,"id":"d8fb47cda08c908a7e03ddc6"},{"text":"2011","image":null,"id":"9a1ede0fc9c312fcdf514d47"},{"text":"2012","image":null,"id":"7da950231169f9e82b223e7c"},{"text":"2013","image":null,"id":"f24eb399cda1f70345714f07"},{"text":"2014","image":null,"id":"71272576cb6724afef3a5aa3"},{"text":"2015","image":null,"id":"109c625f2ecfe4a0945c7524"},{"text":"2016","image":null,"id":"97fe1e21b7ec4ff1f282b494"},{"text":"2017","image":null,"id":"314e4a17df8686d0a8be3083"},{"text":"2018","image":null,"id":"9c090b91ba20bdf38ab7c1e0"},{"text":"2019","image":null,"id":"ab51f39a9ea9fb615a35ddc3"},{"text":"2020","image":null,"id":"04944644d020895255ab1ffc"},{"text":"2021","image":null,"id":"a00de6233371a93100076a6f"},{"text":"2022","image":null,"id":"ed885ba6a58e4cf9f5f07e6a"},{"text":"2023","image":null,"id":"f3bdeb1047fb17f55cb1b737"}],"helperText":"Please Select Your Year of Diagnosis","stepId":"60c2d61a66a74bcb70ce6e49","sortOrder":2,"hideLabel":true,"validationRules":{"required":true}},"buttons_35969020485048":{"type":"Buttons","validationRules":{"required":false},"label":"ru_lawyer","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"imageStyles":{},"options":[{"text":"Yes","id":"8544a16536ee9d960ee749e9"},{"text":"No","id":"fcb043be34f7b3bbe33b1f4c"}],"stepId":"acd45227cac332d443c4e1db","sortOrder":2,"hideLabel":true},"decorative_paragraph_98093705378654":{"type":"Decorative Paragraph","value":"Speak with a specialist today about how you can potentially get compensation for your suffering with zero out of pocket costs to you.","width":12,"stepId":"0652028f45e1cd0d4eb7f648","sortOrder":2},"name_543735742933369":{"type":"Name","label":"Name","width":12,"hideLabel":true,"options":{"Firstname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Lastname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Prefix":{"value":null,"errorText":null}},"stepId":"0652028f45e1cd0d4eb7f648","sortOrder":3,"hidePrefix":true},"email_904291273041714":{"type":"Email","label":"Email","width":12,"stepId":"0652028f45e1cd0d4eb7f648","sortOrder":4,"hideLabel":false},"phone_966245365868611":{"type":"Phone","label":"Phone","width":12,"stepId":"0652028f45e1cd0d4eb7f648","sortOrder":5},"decorative_loading animation_570371424284279":{"type":"Decorative Loading Animation","value":"This does not have a value","loaderOptions":{"color":"#0078e2","type":"Circle","size":79,"redirectAfter":"3s"},"width":12,"stepId":"ae0c5e60366488fe33f3f97d","sortOrder":1},"single_select_665634659275634":{"type":"Single Select","width":12,"label":"ru_diagnose","options":[{"text":"B-Cell Lymphoma","id":"b5a5783e8eba0c147f7d4957"},{"text":"Chronic Lymphocytic Leukemia (CLL)","id":"21117c6d6b7fbd73fedfed0f"},{"text":"Hairy Cell Leukemia","id":"7c7b777d52cd0c27994a30ce"},{"text":"Mantle Cell Lymphoma (MCL)","image":null,"id":"7df56bd19ebca51fc5a93ef5"},{"text":"Non-Hodgkin's Lymphoma (NHL)","image":null,"id":"548422724925afc3efa066e4"},{"text":"T-Cell Lymphoma","image":null,"id":"9f6b9687793a7b6638a4af01"},{"text":"Other Leukemia","image":null,"id":"7f4849542334b613e29fbe52"},{"text":"Other Lymphoma cancer","image":null,"id":"0334d19266a45d3b95bef7ef"},{"text":"Other cancer","image":null,"id":"e13fef90ebac34f8bf80c506"},{"text":"No cancer","image":null,"id":"7bac039ab3355f1a4cf6bc51"},{"text":"Plasmacytoma (B-PC)","image":null,"id":"4e21eabb17a32752a528cd4e"},{"text":"Sezary Syndrome (T-SS)","image":null,"id":"dc94badc31c58d9462df1446"},{"text":"T-Cell Lymphoma","image":null,"id":"47774da7e1ad986a5ca3e04b"}],"helperText":null,"stepId":"ac0ce1d8634334328d03ff33","sortOrder":2,"hideLabel":true},"jornayatcpadisclosure_413352011694555":{"type":"JornayaTCPADisclosure","value":"The lawyer referral service website ([First.Legal](https://secure.first.legal)) is provided for informational purposes only. [First.Legal](https://secure.first.legal) does not provide legal advice or legal services. Any information provided on [First.Legal](https://secure.first.legal) is not intended to create an attorney-client relationship, nor does it constitute legal advice. The use of [First.Legal](https://secure.first.legal) does not create an attorney-client relationship between you and [First.Legal](https://secure.first.legal), or any of the attorneys and [partners](https://secure.first.legal/partners/) listed on \n[First.Legal](https://secure.first.legal) No attorney-client relationship is formed until a formal engagement agreement is signed between you and the attorney. [First.Legal](https://secure.first.legal) makes no guarantees or warranties about the qualifications or suitability of any attorney listed on [First.Legal](https://secure.first.legal). [First.Legal](https://secure.first.legal) is not responsible for any action taken by any attorney listed on [First.Legal](https://secure.first.legal). By submitting your information you agree that first.legal will share your information with [partners](https://secure.first.legal/partners/) who may be able to assist you. [First.Legal](https://secure.first.legal) is not responsible for any loss or damage resulting from your use of [First.Legal](https://secure.first.legal) or the information provided on [First.Legal](https://secure.first.legal). [First.Legal (https://secure.first.legal) is not liable for any damages, including but not limited to, direct, indirect, incidental, punitive, or consequential damages, arising from your use of [First.Legal (https://secure.first.legal) or the information provided on [First.Legal](https://secure.first.legal). You should consult with a licensed attorney in your jurisdiction for legal advice specific to your situation. [First.Legal](https://secure.first.legal) does not endorse any specific attorney or law firm listed on [First.Legal](https://secure.first.legal). By submitting this form, you expressly agree to these terms and the [terms and conditions](https://secure.first.legal/terms-of-use/) listed on [First.Legal](https://secure.first.legal).\n","width":12,"stepId":"0652028f45e1cd0d4eb7f648","sortOrder":6,"fieldStyle":{"textDecoration":"None","textAlign":"Left"}}},"options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true},"continueButton":{"continueText":"Next","submitText":"Submit","backText":"Back"},"customStyles":{"width":{"unit":"px","value":580},"parentContainerMinHeight":{"value":0,"unit":"px"},"parentBackgroundImage":{"imageInitialHeight":1362,"imageInitialWidth":2066,"imageHeight":1362,"imageWidth":2066,"imageUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1597337140/uploads/qmsfk98ank3wfp1ehvyg.jpg"},"headerMarginTop":40,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#0078e2","bodyTextColor":"#343434","parentContainerBackgroundType":"color","innerFormBackgroundType":"none","buttonBorderColor":"#ff7500","buttonColorSelected":"#ffa659","buttonBorderColorSelected":"#ff7500","footerMarginBottom":70,"errorColor":"#ff4e4e","buttonColor":"#ff7500","buttonTextColor":"#ffffff","inputLabelColor":"#a3a3a3","inputTextColor":"#000000","defaultFont":"Merriweather","sq_buttonFont":"Poppins","sq_buttonFontSize":15,"showShadows":"Yes","sq_buttonTextColor":"#343434","sq_buttonColor":"#FFFFFF","sq_buttonColorSelected":"#FFFFFF","sq_buttonBorderColor":"#DADADA","sq_buttonBorderColorSelected":"primary","sq_buttonBannerColor":"#FFFFFF","rt_buttonFont":"Poppins","rt_buttonFontSize":15,"rt_buttonColor":"#FFFFFF","rt_buttonColorSelected":"#FFFFFF","rt_buttonTextColor":"#343434","rt_buttonBorderColor":"#DADADA","rt_buttonBorderColorSelected":"primary","inputLabelFont":"Poppins","inputFontSize":16,"continueSubmitButtonFontSize":15},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":"https://secure.first.legal/roundup/thank-you/"}],"actionOnSubmit":"redirect","analyticsSettings":{"unbounce":{"enabled":true},"trustedForm":{"enabled":true},"jornaya":{"accountCode":"FD37C18E-40DA-D3C1-0437-EF15AB613F8C","campaignKey":"CF989F71-FB23-FE6C-BFB7-42E14BE2D4B5"}},"captureSystemDetails":true},"ownedByUser":"65f3a5ee4e10a8000b863a0c","personalisation":{"form_related_to":"Law firm"},"created":"2024-03-26T22:16:20.875Z","__v":0,"lastEdited":"2024-05-21T23:52:22.497Z","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1742554331/growform-production/form-screenshots/6603493487c5d1000b16a743.png","leadsCount":13,"isActive":true},"accountIsActive":true,"accountIsFreeTrial":false}}; // ---- Utils ---- function safeJSONStringify(obj) { return JSON.stringify(obj) .replace(/<\/(script|style)/gi, '<\\/$1') .replace(//g, '--\\>') .replace(/\u2028/g, '\\u2028') .replace(/\u2029/g, '\\u2029'); } function preloadScript(href) { try { if (!href) return; if (document.querySelector('link[rel="preload"][href="' + href + '"]')) return; var l = document.createElement("link"); l.rel = "preload"; l.as = "script"; l.href = href; l.crossOrigin = ""; // allow cache reuse in iframe document.head.appendChild(l); } catch (_) {} } function parseQuery() { var out = {}; try { if (!window.location.search) return out; var usp = new URLSearchParams(window.location.search); usp.forEach(function (v, k) { out[k] = v; }); } catch (_) {} return out; } function buildIframeHTML(opts) { var html = '\n' + '\n' + '
\n' + ' \n' + ' \n' + ' \n' + '\n' + '\n' + ' \n' + ' \n' + '