Toxic Baby Food Claim Application Form


Injury/Diagnosis



Brands of baby food you used

Beech-nut nutrition company

Earth's Best Organic

Nestle: Gerber

Nurture Inc.: Happy Baby; Happy Family organics

Sun-Maid: Plum Organics

Walmart: Parent's Choice

Kroger

Sprouts Organic Foods

Other Brands


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I declare under penalty of perjury that all information provided on this form is true and correct to the best of my knowledge.