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State of Residence
District of Columbia
Do you grow soybeans?
Do you believe that your soybean crops were damaged by off-target movement of dicamba from a neighboring or nearby farm (i.e., a farm not owned or operated by you)?
Approximately how many acres of your soybeans do you believe were damaged by off-target movement of dicamba?
What do you estimate your monetary losses as a result of off-target movement of dicamba to your soybean crops to be?
What type of documents do you have that support your claim of dicamba damage to soybean crops? (check all that apply)
Reports of an administrative agency (e.g., state department of agriculture or USDA)
Reports of insurance adjusters or inspectors
Reports of any weed scientists or university professors
Reports from inspection by Monsanto or BASF
Reports from crop scouts or other consultants
Reports from an applicator who sprayed dicamba on a nearby farm
None of the above
Other (Please Describe)
Do you have any photos or videos showing your damages crops?
Did anyone other than you witness/observe the damage to your soybean crops?
Did you ever file a complaint regarding your crop damage with any administrative agency (e.g., a state department of agriculture or the USDA)?
Is there anything else you would like us to know about your potential claim?
Should be Empty: