• National Register of 503 Victims

    Harm from biosolids is real. You are not alone.

  • Important Information for Getting Started - Read All:

    Registration is simple and should take approximately 10 minutes to complete, but could take longer depending upon the level of detail provided in your responses. Please complete registration in one session. If you cannot, however, you may Save and Continue Later by clicking the Save button at the bottom of the page. You will receive an email with a link and instructions for completing your registration later. Do not click on Save unless you are exiting and plan to continue later. Registration is voluntary and limited to one submission per email/IP address. You must be 18 years or older to register. It is vitally important to the mission that the information being submitted is factual and true. Your registration is an important step towards achieving change. Thank you for registering. IMPORTANT: We recommend using a desktop computer for completing your registration. Although we do not anticipate any, should you experience technical issues while submitting your registration, SAVE or EXIT your form, then email a description of the problem to us at Connect@Mission503.org. Thank you.

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  • Are you registering on behalf of yourself only or for a multi-member household?*

  • Important: Because you are registering for your household, please allow your responses to the remaining questions to encompass the members within your registration.

  • What is your connection to the biosolids ZIP Code? (Choose all that apply)*
  • What is the primary form of biosolids disposal that you've been exposed to? (Choose all that apply)*
  • What is the shortest distance between the biosolids and your primary point of exposure?*
  • What are your suspected pathways of exposure to biosolids? (Choose all that apply)*
  • How have you been affected by exposure to biosolids? (Choose all that apply)*
  • Were you established in your ZIP Code before biosolids began getting disposed there?*
  • If you purchased your home in a biosolids ZIP Code, did you know, or was it disclosed to you before the purchase, that you were buying a home near biosolids disposal?

  • Your Health While Exposed to Biosolids

    IMPORTANT: It is well-known and universally-documented that exposure to pollutants such as pathogens, heavy metals, organic compounds, dioxin, forever chemicals, and other toxins can be harmful to human health. It is NOT well-known, however, that land-disposed biosolids create exposure pathways to these and other harmful pollutants. Please read through the health categories below and identify the illnesses you and your household have experienced during, or following, exposure to biosolids. This section is optional and not required for registration, but important for analysis and reporting. Only a few illnesses are listed per category to demonstrate and clarify the types of illnesses that comprise each health category. You may choose "Other", per category, to list additional diagnoses. You may also choose to not disclose any specifics within each category. VERY IMPORTANT: Providing truthful and factual responses in this self-reported data is vitally important to the integrity of our reports and the mission. Thank you.

  • Individual responses provided to the National Register of 503 Victims will not be disclosed in Mission503, Inc. Official Reports.

    Responses will be consolidated and reported in aggregate.
  • Do you wish to continue with the health section, or skip it?*
  • Diseases of the Respiratory System. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of the Gastrointestinal System. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Infectious & Parasitic Disease. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of the Skin & Subcutaneous Tissue. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Endocrine, Metabolic & Nutritional Diseases, Immunity Disorders. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of the Circulatory System. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Mental, Behavioral & Neurodevelopmental Disorders. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of the Central Nervous System (CNS) & Sense Organs. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of the Genitourinary System (Urinary & Genital Tract). Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Cancer. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of Musculoskeletal System and Connective Tissue. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Diseases of the Blood and Blood-Forming Organs. Examples include, but are not limited to: (Choose all that apply, or skip to next category)
  • Congenital Anomalies / Birth Defects: (Choose all that apply, or skip)

  • Thank you. You've completed the health categories. You're almost finished.

  • Have you expressed concern to authorities about biosolids?*
  • How did authorities respond to your concerns? (Choose all that apply)
  • Is any member within your registration a farmer that currently uses biosolids, or has used them in the past, or farms on soils that have previously received biosolids?*
  • Does a member within your registration work with biosolids' transport or disposal?*

  • Now, just a couple final questions.

  • Using the email you provided today, may we send you future email with important Mission503 updates?*
  • May we contact you with questions regarding your registration, if needed?*

  • Please provide the contact information you'd like us to use.

  • Format: (000) 000-0000.

  • Thank you! Please read carefully:

  • Before submitting your registration, you may use the BACK button located below to review or edit any of your responses. Do not select SAVE unless you plan to exit and complete your registration later.

  • After submitting your registration, you will receive a confirmation email that contains your registration ID. Please keep it for future reference.

  • Please tell us more about your biosolids experience on our 503 Victims' Stories portal, located on the Mission503.org website (found on Unite-Be Heard page). Please use the same email address to submit your story that you used for registering. Please also provide your registration ID.

  • Thank you for registering. Return to Mission503.org for more ways to get involved with our mission to end the land-disposal of biosolids.

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