</iframe</noscript><script>(function(){if(typeof NPSH!=="undefined"&&NPSH.isScrolled()){setTimeout(()=>{document.body.classList.remove("nitro-cover")},1e3);document.body.classList.add("nitro-cover");window.addEventListener("load",function(){document.body.classList.remove("nitro-cover")})}})();</script> <template data-nitro-marker-id="5f0264017f6589352dc799b2c2e07d61-1"></template><noscript><img src="https://www.ipqscdn.com/api/*/Ta2XT9loZlt1JPz6bnrbV750VnaNtamly6UU8oeAxfmkRSv3GcdrbsXUYfnHsaltsLXkhrtpfMUAOv0Jxp4tMk3YxPhbTZG9tQX2C5Um999loFLus25u369yXQtUMmaOPydd27cwn2KuLZwUvW0UbkKzQeDWcWkl1GsoeX5BwGAe44SiMNesfMvED9KMOI8I4zk6UIGtUMw84C6kAzmBqzsDDkCeBfzroSQEO33LeBULFlFVBsW23B1N0LxF3996/pixel.png" /> <img src="https://www.acaseforwomen.com/wp-content/uploads/2024/02/pixel.png" /> </noscript><a href="#ajax-content-wrap" class="nectar-skip-to-content">Skip to main content</a><div id="ajax-loading-screen" data-disable-mobile="1" data-disable-fade-on-click="0" data-effect="standard" data-method="standard"><div class="loading-icon none nitro-lazy"><div class="material-icon"> <svg class="nectar-material-spinner" width="60px" height="60px" viewbox="0 0 60 60"> <circle stroke-linecap="round" cx="30" cy="30" r="26" fill="none" stroke-width="6"></circle> </svg> </div></div></div> <div id="header-space" data-header-mobile-fixed='false'></div> <div id="header-outer" data-has-menu="true" data-has-buttons="yes" data-header-button_style="default" data-using-pr-menu="false" data-mobile-fixed="false" data-ptnm="1" data-lhe="default" data-user-set-bg="#ffffff" data-format="default" data-permanent-transparent="false" data-megamenu-rt="0" data-remove-fixed="0" data-header-resize="1" data-cart="false" data-transparency-option="" data-box-shadow="small" data-shrink-num="28" data-using-secondary="0" data-using-logo="1" data-logo-height="100" data-m-logo-height="50" data-padding="1" data-full-width="false" data-condense="false"> <div id="search-outer" class="nectar"> <div id="search"> <div class="container"> <div id="search-box"> <div class="inner-wrap"> <div class="col span_12"> <form role="search" action="https://www.acaseforwomen.com/" method="GET"> <input type="text" name="s" id="s" value="Start Typing..." aria-label="Search" data-placeholder="Start Typing..." /> </form> </div> </div> </div> <div id="close"><a href="#" class="nitro-lazy"><span class="screen-reader-text">Close Search</span> <span aria-hidden="true" class="icon-salient-x nitro-lazy"></span> </a></div> </div> </div> </div> <header id="top"> <div class="container"> <div class="row"> <div class="col span_3"> <a id="logo" href="https://www.acaseforwomen.com" data-supplied-ml-starting-dark="false" data-supplied-ml-starting="false" data-supplied-ml="false"> <img width="300" height="300" alt="A Case for Women®" nitro-lazy-srcset="https://cdn-fgifk.nitrocdn.com/CbOyAGGrpifXgbunAUsJoizviImvjEIk/assets/images/optimized/rev-509c144/www.acaseforwomen.com/wp-content/uploads/2023/09/ACFW-W-Logo-300px.png 1x, https://cdn-fgifk.nitrocdn.com/CbOyAGGrpifXgbunAUsJoizviImvjEIk/assets/images/optimized/rev-509c144/www.acaseforwomen.com/wp-content/uploads/2023/09/ACFW-W-Logo-600.png 2x" nitro-lazy-src="https://cdn-fgifk.nitrocdn.com/CbOyAGGrpifXgbunAUsJoizviImvjEIk/assets/images/optimized/rev-509c144/www.acaseforwomen.com/wp-content/uploads/2023/09/ACFW-W-Logo-300px.png" class="stnd default-logo nitro-lazy" decoding="async" nitro-lazy-empty id="NzgzOjM1NQ==-1" src="data:image/svg+xml;nitro-empty-id=NzgzOjM1NQ==-1;base64,PHN2ZyB2aWV3Qm94PSIwIDAgMzAwIDMwMCIgd2lkdGg9IjMwMCIgaGVpZ2h0PSIzMDAiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+PC9zdmc+" /> </a> </div> <div class="col span_9 col_last"> <div class="nectar-mobile-only mobile-header"><div class="inner"></div></div> <div class="slide-out-widget-area-toggle mobile-icon slide-out-from-right" data-custom-color="false" data-icon-animation="simple-transform"> <div> <a href="#sidewidgetarea" role="button" aria-label="Navigation Menu" aria-expanded="false" class="closed"> <span class="screen-reader-text">Menu</span><span aria-hidden="true"> <i class="lines-button x2"> <i class="lines"></i> </i> </span> </a></div> </div> <nav> <ul class="sf-menu"> <li id="menu-item-788" class="menu-item menu-item-type-post_type menu-item-object-page nectar-regular-menu-item menu-item-788"><a href="https://www.acaseforwomen.com/learn-more/"><span class="menu-title-text">About Us</span></a></li> <li id="menu-item-789" class="menu-item menu-item-type-post_type menu-item-object-page nectar-regular-menu-item menu-item-789"><a href="https://www.acaseforwomen.com/howitworks/"><span class="menu-title-text">How It Works</span></a></li> <li id="menu-item-7288" class="menu-item menu-item-type-post_type menu-item-object-page nectar-regular-menu-item menu-item-7288"><a href="https://www.acaseforwomen.com/faq/"><span class="menu-title-text">FAQs</span></a></li> <li id="menu-item-8806" class="menu-item menu-item-type-post_type menu-item-object-page nectar-regular-menu-item menu-item-8806"><a href="https://www.acaseforwomen.com/foundation/"><span class="menu-title-text">Philanthropy</span></a></li> <li id="menu-item-8435" class="menu-item menu-item-type-post_type menu-item-object-page nectar-regular-menu-item menu-item-8435"><a href="https://www.acaseforwomen.com/for-the-attorneys/"><span class="menu-title-text">For Attorneys</span></a></li> <li id="menu-item-7905" class="menu-item menu-item-type-post_type menu-item-object-page nectar-regular-menu-item menu-item-7905"><a href="https://www.acaseforwomen.com/blog/"><span class="menu-title-text">Blog</span></a></li> </ul> <ul class="buttons sf-menu" data-user-set-ocm="1"> <li class="slide-out-widget-area-toggle" data-icon-animation="simple-transform" data-custom-color="false"><div> <a href="#sidewidgetarea" aria-label="Navigation Menu" aria-expanded="false" role="button" class="closed"> <span class="screen-reader-text">Menu</span><span aria-hidden="true"> <i class="lines-button x2"> <i class="lines"></i> </i> </span> </a> </div></li> </ul> </nav> </div> </div> </div> </header> </div> <div id="ajax-content-wrap"> <div class="container-wrap"> <div class="container main-content" role="main"> <div class="row"> <div id="fws_67dc6827d01fa" data-column-margin="default" data-midnight="dark" class="wpb_row vc_row-fluid vc_row top-level" style="padding-top:0px;padding-bottom:0px;"><div class="row-bg-wrap" data-bg-animation="none" data-bg-animation-delay="" data-bg-overlay="false"><div class="inner-wrap row-bg-layer"><div class="row-bg viewport-desktop" style=""></div></div></div><div class="row_col_wrap_12 col span_12 dark left"> <div class="vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone " data-padding-pos="all" data-has-bg-color="false" data-bg-color="" data-bg-opacity="1" data-animation="" data-delay="0"> <div class="vc_column-inner"> <div class="wpb_wrapper"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <h2>Internal Team Lead Form</h2> </div> </div> </div> </div> </div> </div></div> <div id="fws_67dc6827d0978" data-column-margin="default" data-midnight="dark" class="wpb_row vc_row-fluid vc_row" style="padding-top:0px;padding-bottom:0px;"><div class="row-bg-wrap" data-bg-animation="none" data-bg-animation-delay="" data-bg-overlay="false"><div class="inner-wrap row-bg-layer"><div class="row-bg viewport-desktop" style=""></div></div></div><div class="row_col_wrap_12 col span_12 dark left"> <div class="vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone " data-padding-pos="all" data-has-bg-color="false" data-bg-color="" data-bg-opacity="1" data-animation="" data-delay="0"> <div class="vc_column-inner"> <div class="wpb_wrapper"> <div class='gf_browser_chrome gform_wrapper gravity-theme gform-theme--no-framework qforms2_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_220' style='display:none;'> <div class='gform_heading'> <p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p> </div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_220' id='gform_220' class='qforms2' action='/team/lead/' data-formid='220' novalidate><input type="hidden" value="0" name="gpps_page_progression_220" /> <div class='gform-body gform_body'><div id='gform_fields_220' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id="field_220_28" class="gfield gfield--type-select gfield--input-type-select gfield--width-full acfw-agent gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_28"><label class='gfield_label gform-field-label' for='input_220_28'>Agent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_220_28'>Please select your name from the list below. If you don't see your name, contact tech support prior to proceeding.</div><div class='ginput_container ginput_container_select'><select name='input_28' id='input_220_28' class='large gfield_select' aria-describedby="gfield_description_220_28" aria-required="true" aria-invalid="false"><option value='' selected='selected' class='gf_placeholder'>-- SELECT YOUR NAME --</option><option value='Addia Troyer'>Addia Troyer</option><option value='Alana Corcoran'>Alana Corcoran</option><option value='Brittany Philyaw'>Brittany Philyaw</option><option value='Catherine Smith'>Catherine Smith</option><option value='Charlie Arthur'>Charlie Arthur</option><option value='Christopher Dawson'>Christopher Dawson</option><option value='Claudia Tolson'>Claudia Tolson</option><option value='Debby Dawson'>Debby Dawson</option><option value='Echo Zen'>Echo Zen</option><option value='Elizabeth Espinal'>Elizabeth Espinal</option><option value='Emily Watson'>Emily Watson</option><option value='Geena Dacy'>Geena Dacy</option><option value='Hannah Busch'>Hannah Busch</option><option value='Isabel Salazar'>Isabel Salazar</option><option value='Jared Ray'>Jared Ray</option><option value='Jill Hightower'>Jill Hightower</option><option value='Jo Bains'>Jo Bains</option><option value='Jordan Lee Knape'>Jordan Lee Knape</option><option value='Jules Hall'>Jules Hall</option><option value='Karen Kane'>Karen Kane</option><option value='Kevin DeBacker'>Kevin DeBacker</option><option value='Kris Medina'>Kris Medina</option><option value='Kristi Patron'>Kristi Patron</option><option value='Lana Horning'>Lana Horning</option><option value='LaToya Greene'>LaToya Greene</option><option value='Lauren Bristow'>Lauren Bristow</option><option value='Lorraine Singh'>Lorraine Singh</option><option value='Maggie Dransfield'>Maggie Dransfield</option><option value='Marla Cook'>Marla Cook</option><option value='Mattison May'>Mattison May</option><option value='Michelle Turner'>Michelle Turner</option><option value='Rebecca Stewart'>Rebecca Stewart</option><option value='Rosalynn Karstens'>Rosalynn Karstens</option><option value='Starla Mulder'>Starla Mulder</option><option value='Tamisha Jones'>Tamisha Jones</option><option value='Tori Troyer'>Tori Troyer</option><option value='Vanessa Johnson'>Vanessa Johnson</option></select></div></div><div id="field_220_29" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_29"><label class='gfield_label gform-field-label' for='input_220_29'>Case Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_220_29' class='large gfield_select' aria-required="true" aria-invalid="false"><option value='' selected='selected' class='gf_placeholder'>-- SELECT --</option><option value='3M'>3M</option><option value='Abercrombie & Fitch'>Abercrombie & Fitch</option><option value='Abuse of Power'>Abuse of Power</option><option value='AFFF'>AFFF</option><option value='Alexander Brothers Assault'>Alexander Brothers Assault</option><option value='Allergan Breast Implants'>Allergan Breast Implants</option><option value='Baby Carrier'>Baby Carrier</option><option value='Baby Food'>Baby Food</option><option value='Baby Formula'>Baby Formula</option><option value='Belviq'>Belviq</option><option value='Birth Injury'>Birth Injury</option><option value='Bladder Mesh'>Bladder Mesh</option><option value='Boy Scouts'>Boy Scouts</option><option value='Breast Implants'>Breast Implants</option><option value='Breast Mesh'>Breast Mesh</option><option value='CA Church Abuse'>CA Church Abuse</option><option value='CA Fires'>CA Fires</option><option value='CA Institutional Abuse'>CA Institutional Abuse</option><option value='California Sexual Abuse'>California Sexual Abuse</option><option value='Camp Lejeune'>Camp Lejeune</option><option value='Canada Church Abuse'>Canada Church Abuse</option><option value='Cannabis Vaping'>Cannabis Vaping</option><option value='Catholic Church Abuse'>Catholic Church Abuse</option><option value='Cheer Abuse'>Cheer Abuse</option><option value='Church Abuse'>Church Abuse</option><option value='Colorado Church Abuse'>Colorado Church Abuse</option><option value='Columbia Sexual Abuse'>Columbia Sexual Abuse</option><option value='Conrad Mainwaring Assault'>Conrad Mainwaring Assault</option><option value='CooperSurgical IVF Recall'>CooperSurgical IVF Recall</option><option value='Cord Blood Bank'>Cord Blood Bank</option><option value='CPAP'>CPAP</option><option value='Depo-Provera'>Depo-Provera</option><option value='Dexcom'>Dexcom</option><option value='Doctor Assault'>Doctor Assault</option><option value='Dr Anderson'>Dr Anderson</option><option value='Dr Anderson Assault'>Dr Anderson Assault</option><option value='Dr Broadbent Assault'>Dr Broadbent Assault</option><option value='Dr Brock Assault'>Dr Brock Assault</option><option value='Dr Cheng Assault'>Dr Cheng Assault</option><option value='Dr Hajhosseini Assault'>Dr Hajhosseini Assault</option><option value='Dr Hoefs Assault'>Dr Hoefs Assault</option><option value='Dr Lee Assault'>Dr Lee Assault</option><option value='Dr Ortega Abuse'>Dr Ortega Abuse</option><option value='Dr Strauss Assault'>Dr Strauss Assault</option><option value='Dr Todd Abuse'>Dr Todd Abuse</option><option value='Dr Todd Assault'>Dr Todd Assault</option><option value='Elmiron'>Elmiron</option><option value='EMU Abuse'>EMU Abuse</option><option value='Environmental'>Environmental</option><option value='Equal Pay'>Equal Pay</option><option value='Essure'>Essure</option><option value='Evergreen'>Evergreen</option><option value='Exactech'>Exactech</option><option value='Hair Relaxer'>Hair Relaxer</option><option value='Hernia Mesh'>Hernia Mesh</option><option value='Hotel Assault'>Hotel Assault</option><option value='Huck Abuse'>Huck Abuse</option><option value='Illinois Clergy Abuse'>Illinois Clergy Abuse</option><option value='Injectafer'>Injectafer</option><option value='Institutional Abuse'>Institutional Abuse</option><option value='Internet Sextortion'>Internet Sextortion</option><option value='IVC Filter'>IVC Filter</option><option value='Juul'>Juul</option><option value='Juvenile Detention Center'>Juvenile Detention Center</option><option value='Kurn Hattin Abuse'>Kurn Hattin Abuse</option><option value='Latter-day Saints Abuse'>Latter-day Saints Abuse</option><option value='Long Term Care Abuse'>Long Term Care Abuse</option><option value='LSU Assault'>LSU Assault</option><option value='Maryland Church Abuse'>Maryland Church Abuse</option><option value='Massage Envy'>Massage Envy</option><option value='Maui Fire'>Maui Fire</option><option value='Medical Malpractice'>Medical Malpractice</option><option value='Mesothelioma'>Mesothelioma</option><option value='Michigan Abuse'>Michigan Abuse</option><option value='Mirena'>Mirena</option><option value='NEC'>NEC</option><option value='NY Sexual Assault'>NY Sexual Assault</option><option value='Ohio Train Derailment'>Ohio Train Derailment</option><option value='Ozempic'>Ozempic</option><option value='Paragard'>Paragard</option><option value='Paraquat'>Paraquat</option><option value='PFAS Water Contamination'>PFAS Water Contamination</option><option value='PGT-A Testing'>PGT-A Testing</option><option value='Potomac Crash'>Potomac Crash</option><option value='Private School Abuse'>Private School Abuse</option><option value='Real Estate Sexual Assault'>Real Estate Sexual Assault</option><option value='Rideshare'>Rideshare</option><option value='Roblox'>Roblox</option><option value='Roundup'>Roundup</option><option value='Servants of the Word'>Servants of the Word</option><option value='Sexual Abuse Gymnastics'>Sexual Abuse Gymnastics</option><option value='Sexual Harassment'>Sexual Harassment</option><option value='Soccer Abuse'>Soccer Abuse</option><option value='STIIIZY Induced Psychosis'>STIIIZY Induced Psychosis</option><option value='Surgical Stapler'>Surgical Stapler</option><option value='Talcum Powder'>Talcum Powder</option><option value='Taxotere'>Taxotere</option><option value='Tenant Harassment'>Tenant Harassment</option><option value='Tepezza'>Tepezza</option><option value='Texas Deep Freeze'>Texas Deep Freeze</option><option value='Trafficking'>Trafficking</option><option value='Troubled Teen Industry'>Troubled Teen Industry</option><option value='Truvada'>Truvada</option><option value='TV Mesh'>TV Mesh</option><option value='University of Michigan Doctor Sex Abuse'>University of Michigan Doctor Sex Abuse</option><option value='USC Abuse'>USC Abuse</option><option value='UV Gel Nail Cancer'>UV Gel Nail Cancer</option><option value='Uvalde'>Uvalde</option><option value='Vaginal Rejuvenation'>Vaginal Rejuvenation</option><option value='Workplace Discrimination'>Workplace Discrimination</option><option value='YMCA Abuse'>YMCA Abuse</option><option value='Yogi Abuse'>Yogi Abuse</option><option value='YRTC Assault'>YRTC Assault</option><option value='Zantac'>Zantac</option></select></div></div><div id="field_220_1" class="gfield gfield--type-text gfield--input-type-text fname field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_1"><label class='gfield_label gform-field-label' for='input_220_1'>First Name</label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_220_1' type='text' value='' placeholder='First Name' aria-invalid="false" class="large nitro-lazy" /></div></div><div id="field_220_15" class="gfield gfield--type-text gfield--input-type-text lname field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_15"><label class='gfield_label gform-field-label' for='input_220_15'>Last Name</label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_220_15' type='text' value='' class='large' placeholder='Last Name' aria-invalid="false" /></div></div><div id="field_220_4" class="gfield gfield--type-email gfield--input-type-email email field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_4"><label class='gfield_label gform-field-label' for='input_220_4'>Email</label><div class='ginput_container ginput_container_email'> <input name='input_4' id='input_220_4' type='email' value='' class='large' placeholder='Email' aria-invalid="false" /> </div></div><div id="field_220_27" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_27"><label class='gfield_label gform-field-label' for='input_220_27'>Phone</label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_220_27' type='tel' value='' class='large' placeholder='Phone' aria-invalid="false" /></div></div><div id="field_220_24" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_220_24"><label class='gfield_label gform-field-label' for='input_220_24'>State<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_220_24' class='large gfield_select' aria-required="true" aria-invalid="false"><option value='' selected='selected' class='gf_placeholder'>State</option><option value='AL'>Alabama</option><option value='AK'>Alaska</option><option value='AZ'>Arizona</option><option value='AR'>Arkansas</option><option value='CA'>California</option><option value='CO'>Colorado</option><option value='CT'>Connecticut</option><option value='DE'>Delaware</option><option value='DC'>District of Columbia</option><option value='FL'>Florida</option><option value='GA'>Georgia</option><option value='HI'>Hawaii</option><option value='ID'>Idaho</option><option value='IL'>Illinois</option><option value='IN'>Indiana</option><option value='IA'>Iowa</option><option value='KS'>Kansas</option><option value='KY'>Kentucky</option><option value='LA'>Louisiana</option><option value='ME'>Maine</option><option value='MD'>Maryland</option><option value='MA'>Massachusetts</option><option value='MI'>Michigan</option><option value='MN'>Minnesota</option><option value='MS'>Mississippi</option><option value='MO'>Missouri</option><option value='MT'>Montana</option><option value='NE'>Nebraska</option><option value='NV'>Nevada</option><option value='NH'>New Hampshire</option><option value='NJ'>New Jersey</option><option value='NM'>New Mexico</option><option value='NY'>New York</option><option value='NC'>North Carolina</option><option value='ND'>North Dakota</option><option value='OH'>Ohio</option><option value='OK'>Oklahoma</option><option value='OR'>Oregon</option><option value='PA'>Pennsylvania</option><option value='RI'>Rhode Island</option><option value='SC'>South Carolina</option><option value='SD'>South Dakota</option><option value='TN'>Tennessee</option><option value='TX'>Texas</option><option value='UT'>Utah</option><option value='VT'>Vermont</option><option value='VA'>Virginia</option><option value='WA'>Washington</option><option value='WV'>West Virginia</option><option value='WI'>Wisconsin</option><option value='WY'>Wyoming</option><option value='AS'>American Samoa</option><option value='FM'>Federated States of Micronesia</option><option value='GU'>Guam</option><option value='MH'>Marshall Islands</option><option value='MP'>Northern Mariana Islands</option><option value='PW'>Palau</option><option value='PR'>Puerto Rico</option><option value='VI'>Virgin Islands</option><option value='AE'>Armed Forces Africa</option><option value='AA'>Armed Forces Americas</option><option value='AE'>Armed Forces Canada</option><option value='AE'>Armed Forces Europe</option><option value='AE'>Armed Forces Middle East</option><option value='AP'>Armed Forces Pacific</option></select></div></div><div id="field_220_16" class="gfield gfield--type-text gfield--input-type-text zipcode field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_16"><label class='gfield_label gform-field-label' for='input_220_16'>Zip Code</label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_220_16' type='text' value='' class='large' placeholder='Zip Code' aria-invalid="false" /></div></div><div id="field_220_5" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_5"><div class='ginput_container ginput_container_text'><input name='input_5' id='input_220_5' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_6" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_6"><div class='ginput_container ginput_container_text'><input name='input_6' id='input_220_6' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_7" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_7"><div class='ginput_container ginput_container_text'><input name='input_7' id='input_220_7' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_8" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_8"><div class='ginput_container ginput_container_text'><input name='input_8' id='input_220_8' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_9" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_9"><div class='ginput_container ginput_container_text'><input name='input_9' id='input_220_9' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_10" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_10"><div class='ginput_container ginput_container_text'><input name='input_10' id='input_220_10' type='hidden' class='gform_hidden' aria-invalid="false" value='178.62.71.222' /></div></div><div id="field_220_11" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_11"><div class='ginput_container ginput_container_text'><input name='input_11' id='input_220_11' type='hidden' class='gform_hidden' aria-invalid="false" value='Mozilla/5.0 (Macintosh; Intel Mac OS X 10_15_7) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/132.0.0.0 Safari/537.36 Nitro-Optimizer-Agent' /></div></div><div id="field_220_14" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_14"><div class='ginput_container ginput_container_text'><input name='input_14' id='input_220_14' type='hidden' class='gform_hidden' aria-invalid="false" value='Team Lead Form' /></div></div><div id="field_220_12" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_12"><div class='ginput_container ginput_container_text'><input name='input_12' id='input_220_12' type='hidden' class='gform_hidden' aria-invalid="false" value='https://www.acaseforwomen.com/team/lead/' /></div></div><div id="field_220_17" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_17"><div class='ginput_container ginput_container_text'><input name='input_17' id='input_220_17' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_19" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_19"><div class='ginput_container ginput_container_text'><input name='input_19' id='input_220_19' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_20" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_20"><div class='ginput_container ginput_container_text'><input name='input_20' id='input_220_20' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_21" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_21"><div class='ginput_container ginput_container_text'><input name='input_21' id='input_220_21' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_23" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_23"><div class='ginput_container ginput_container_text'><input name='input_23' id='input_220_23' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_25" class="gfield gfield--type-text gfield--input-type-text gfield--width-full tracking_fbc hide field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_25"><label class='gfield_label gform-field-label' for='input_220_25'>fbc</label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_220_25' type='text' value='' class='large' aria-invalid="false" /></div></div><div id="field_220_26" class="gfield gfield--type-text gfield--input-type-text gfield--width-full tracking_fbp hide field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_26"><label class='gfield_label gform-field-label' for='input_220_26'>fbp</label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_220_26' type='text' value='' class='large' aria-invalid="false" /></div></div><div id="field_220_2023" class="gfield gfield--type-text hide ipqs field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_2023"><label class='gfield_label gform-field-label' for='input_220_2023'>IPQS</label><div class='ginput_container ginput_container_text'><input name='input_2023' id='input_220_2023' type='text' value='' class='' aria-invalid="false" /></div></div><div id="field_220_2024" class="gfield gfield--type-hidden hide trusted_form gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_2024"><div class='ginput_container ginput_container_text'><input name='input_2024' id='input_220_2024' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_220_2025" class="gfield gfield--type-text hide ipqs_device_id field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_2025"><label class='gfield_label gform-field-label' for='input_220_2025'>IPQS Device ID</label><div class='ginput_container ginput_container_text'><input name='input_2025' id='input_220_2025' type='text' value='' class='' aria-invalid="false" /></div></div><div id="field_220_2026" class="gfield gfield--type-text hide ipqs_score field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_2026"><label class='gfield_label gform-field-label' for='input_220_2026'>IPQS Score</label><div class='ginput_container ginput_container_text'><input name='input_2026' id='input_220_2026' type='text' value='' class='' aria-invalid="false" /></div></div><div id="field_220_2027" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_220_2027"><label class='gfield_label gform-field-label' for='input_220_2027'>Name</label><div class='gfield_description' id='gfield_description_220_2027'>This field is for validation purposes and should be left unchanged.</div><div class='ginput_container'><input name='input_2027' id='input_220_2027' type='text' value='' autocomplete='new-password' /></div></div></div></div> <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_220' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' value='SUBMIT' /> <input type='hidden' name='gform_ajax' value='form_id=220&title=&description=&tabindex=0&theme=gravity-theme&styles=[]&hash=019b5aea0582742055c55e9ca38f7c57' /> <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_220' value='iframe' /> <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_220' id='gform_theme_220' value='gravity-theme' /> <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_220' id='gform_style_settings_220' value='[]' /> <input type='hidden' class='gform_hidden' name='is_submit_220' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='220' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_220' value='["{\"28\":[\"af178392e6d386391fc008db5dfab955\",\"5ad36317982c18023a0dc61d1eea9fd0\",\"6f5918b9f24c722778f25dcca8dd9efe\",\"851fb1652e4644279de97e2b48d1bd1d\",\"c8d1a6cd976377911202246e3fd5d7f8\",\"7f6090eeb6ee14eae4fb14aa2789e1f7\",\"8662725c93e665e82d32900d04f62b83\",\"8bdd97d799bf4b2b1dc408c8fc5302c2\",\"33a60e5342470b6b241da24748734443\",\"f93c6f97762de5ddecdf7fe51685d6ec\",\"8e3118e8298c0429f024026921a7d162\",\"ce7dc1a06e436b60baa7e048b826f623\",\"9b0971f01731bd969df7d1743d36a9fa\",\"f4ca8f5a92f1d419ee9e254e792d3e79\",\"d447b01b67d5a696c0f3f3ac2e02fc76\",\"3a563680bc9abc7c414d9fd7013e4096\",\"485c2974b62a4b00f6262fd306e136e5\",\"289e8fdda9ccb3fa2ee68d3562fb90cf\",\"57af91cf1bbc13e74ac42f3ca8b0cd5a\",\"58c374b4ed62525bd856677f3f90991e\",\"599ee7785a1df18d6d44c2f71a5cda03\",\"9c44b2f03aab9640ec9d9008f05c2ab7\",\"df8d225f6e06a7e6b639ddbb9ff54f95\",\"2085ce7371f2ab82ee3ed4989cd52da7\",\"651e2dd84dbdf64e16e796fec656dce6\",\"72b66b5d6e108bea93bdcca974a2733b\",\"fde44a941a013b62841181b3fa3a2e20\",\"058382634259b576ea221c0101403284\",\"dbdeec6065398281c67fd2f54245a473\",\"96ef6b3e974a46cbeebc1f3d7ce0c42b\",\"574ad205e542d7f9be609bd5d80fea07\",\"bd1a389cc938c1f0f89b4cdfc87eaedb\",\"98fd4ffa844e638cd4a2207ff5fb9f28\",\"f47d4b012981ddf89ab0f2db8832d0ff\",\"f54dae230a7ec927e04a609b00010f0e\",\"b2271a6333a30620fbc9efcb71d8d0d4\",\"4759f5bd5efc33bba3a4bc03764bcc86\"],\"29\":[\"5d749ed135824ac24e5a7abe0401945d\",\"55f6afa547c34cb06dbb13219f6303bb\",\"7f1afe0bfb74e92348c83ba5cd99aadc\",\"e2c4b7eebb9674ce4cbd22fe4fe79b77\",\"462af7ccc2c6a93293036cdc6639a607\",\"12062fda458ae0a4f561b54b81e90702\",\"d0335f303ddeae32cd90b8d40ee2d19d\",\"2bc56a0c3ac0efc2a7c3b9acca3f23fc\",\"a4a648e31f6fddc1961e3b6148053afb\",\"f1a0390fb83598e9a2da95840b055660\",\"e2710f8c22c3a5c4834f25f4011abc32\",\"401a5b38fedfd1ff83a5798b147fe666\",\"1023df0e9f18b7c43fdb74fd6325bca8\",\"3bdb214ca03f8d4a49f3d36a856ac6ce\",\"34a7b7dddecbace119067539d8dfc7a6\",\"756b4fcdecd6b1a58ece06387fe470fc\",\"21a0da7f80bb95c617ed116f1bcda4e3\",\"76a05c10d7a2ac5a95b3713519f0e553\",\"68a1aea333cfa677cefbb96cacdfbc53\",\"e769b2cd7597cf3bf0428fb532f5ad53\",\"f57d6e19af3810432e17e2ec5865c137\",\"1f33b09fef91cf9443540d768d4fdd45\",\"5afbe4dc1b333cf8ba2917b04655d9ff\",\"3c266923ce699f5fa650c7854057de37\",\"8a9ce8c96737a4d429080ba9f74f7cdb\",\"6a8c15bc9ceaee3ad74db2d4e27483b7\",\"237e4b75920f9cf614e5db07c9acfc40\",\"cef19800c2b66fed32cbfaf6cd33eb22\",\"3499575ab12e4250c477c3711e532cb2\",\"044962cd27a820b730b0188415b81174\",\"aaa997c7a1de2bc0ae53646f1194d2de\",\"b21fa22a2e79beedc5182cf589e3b739\",\"48063913867d7ff283a1bb83276297a1\",\"878de9821d6cb8a22f57c799d4177045\",\"11840f09ed99d770582dbe3c8f15a3aa\",\"a8cd8b860d41e26f776fb2d8bdfe9b3b\",\"307fef48db812cc9b6423e6a58b12352\",\"f934066fee9b88655407e97c9b13fa2b\",\"0d26173cd34c24a95ac874e58127d959\",\"12f7d1aa34c00133168457f8abf1108a\",\"707327152f6f472afd2c6a475c861da9\",\"682b6e4f2ce36d4e71cb72d87e45e9ee\",\"e166fe7f112b14c07f79cfc81f004d02\",\"91e77e47a81a2b4056c7cfdada0049f7\",\"77cc294c9e86cbc784ed74fd5655938e\",\"ee2b2ea20552c280259f8e3d42bf8418\",\"4688171bbfe2ed9c03c17192c2c94e8d\",\"c305936f8893532dd2f1b97cdf6eeaae\",\"108335f0c9c0ef0711e0f9523714b8d1\",\"3237fb176467b94ca9fc8da26dea4ab4\",\"2e486d252dbd229835bf08cda74fa5f9\",\"b082a193580da724ffc676c474c5e757\",\"9c274e822c6929307300aa5bcc5a8f3e\",\"3cee14efe279c1b1ddb57e487d4e66c1\",\"9aeac2bf45fc863f4ac797f63a642628\",\"7900daab577d2eb86b780a6b487222fe\",\"3bee21ba2e6e560a8dd035f9c4e1ee34\",\"e6d7bc962131e43a8ded75c5ddecfd09\",\"2d2b2fbafdaf947dada624901e5e470d\",\"7de99579f7b3cff20b012c7b4f9c7362\",\"0ce6dcc3923f693870f424531347a4f1\",\"ae8fb9392dc7d9fb728e0a1069b1ce6b\",\"f4e0a3e216610ed0253d25acbb98bb80\",\"337470f9b76f3d40e050fdf3a026cb8a\",\"d192663ba83f808332d0b8b47c81a3e4\",\"5a64c3b9ca843a17eb3ca583641eab20\",\"a1b53815733ef962e320d8a2e4f496db\",\"9184950cffe845b8a456f56f72b3bb63\",\"ad9e75f9c5c7023a318a78f62d68de81\",\"a2965011bb2e7376803bc109079da644\",\"0cf1f856f5cdab8fad3e34fbb98bf173\",\"03eeb9f8573d02fd00a1a2432aac56bd\",\"4dd095a302661c862a5e352e15f402c6\",\"dc1ff89c372bc3ead544fc2b1f948e44\",\"2ea8d11a461d5872f5a7a278090de26c\",\"3f15f3b411c25a1269720af9cf8c8dc0\",\"3d34e2a01dc0874aa1ed80be1dd61c14\",\"d742e055b18ea4e95897227b212f0246\",\"d2df06ecf696d5f5f934deda5bfd53dd\",\"626c6355b57e2039f2ed426005bbb4ea\",\"7e10ba1d6aaea600b70e58d180d9dfb5\",\"45040143875dbf6e0c5e707970c2360e\",\"1009d76b8de56c83e7cd1df7d9190bc1\",\"198b9b85ed59ad98a8f7cae3b2994969\",\"501c3e677fb7f4e0ed9cc4aa4de221b1\",\"4f9bbc5621395b94d8b93760132bbcf1\",\"bb24f251c82ce2698c46b8384ef7dcd4\",\"745acf6bc74580197e2a13ea4a5d3373\",\"a584065d8c590dc1bb91b3673871b08f\",\"4bd8d80581fb77f2a30297aa603b7016\",\"5a8a8ea39a1b92e01af7eb0139fd3321\",\"2dc16dc95b671f362daed9ef11605763\",\"03610286e1cd4fa4f10c969d8901197f\",\"83b152525fc1a48cd041c5ba85300570\",\"a6a68df2772ad59a5d21a445a90e9e19\",\"96bc182f7d1ca44a320156f8a510b273\",\"3e02651636e1311ff6c8637187b2776f\",\"10f21cbe64072d7ae5fcaa8a831518a8\",\"b2cb054d43484ecc10825840a37e60f6\",\"1023191ccbd6f086e866751c89da557c\",\"2099ba5902d77713bd348f5575fa8b3a\",\"0858d01299261280bee44b31e3cdaec7\",\"18e3fcc259a0a6d60f0d80d4d9fcc184\",\"6561ef88924e62b5473b0167c8c49795\",\"ee411392ada3629b5a112f1a529bacf7\",\"4ed95ce00dd44b5be4ae4f48c574f3e9\",\"df8449993ab7360f68415db9d47ce641\",\"2cb00dd7be0df2328bc7d4ad91071350\",\"da5b70942abb65cb267fb2eeba5bdedc\",\"86322317a7d8466d516764951636b3d5\",\"14481c5eacd90c60d850182f1cf104df\",\"b3025750a8a8406aaff89042c88b6b83\",\"97893a1a530649807e958233f0e3b4ad\",\"37a5275d4648dd75661eb830451175d8\"],\"24\":[\"bc8f93ce94ad33b100f576794080880a\",\"78d9b426117f393e42650e35141bcaaa\",\"c8e1474f6f5f5ebd079e1fd1297b0b3d\",\"e2f4ee42ce2530bf13d825cfba0d73da\",\"daf7c2aef38909b098855536ff8fe712\",\"977f00ef7cad864270ac55e049503419\",\"3741b66a966a5bf9730e26c09cc5d691\",\"4a2af2790d82094be624dc9cc75b5354\",\"4cb34f10143ee8fabb0f860289b8d0cc\",\"dd39bdf736b105b07bbf25d4ea0c0b40\",\"db104f5bc841488a7d64f3f20f39adfc\",\"f5ca0ca7a7cf745b4cbe4969098d66e3\",\"42358241a24e7f7b77d3ebfd0de59cdd\",\"0b0d15ed4dbf66f4fd441053fb511259\",\"0dd0f13f9b1ad1894e08c9128152f4b4\",\"ec7a3a075b91d049d64098c8df1de851\",\"0fb9090e604a84f405156ac6dc4e5a92\",\"07ebea463829ac889e83dbd5d2902809\",\"29c5806cea27f0e84158c16136c18fdf\",\"93f689621bf08a58a9214c10a4905f26\",\"b21b19bfc2305e792cb3a82e914eaf78\",\"eb8011300441b3fc7478d51bb0895f43\",\"985c038ea8a017dd2a7fd96b02915b60\",\"c1cbeb5c3efc57b4948657a273ef32a2\",\"e4caea06bdd5636546a1e442c4a19056\",\"a5fd7d0faacb8c037f4cd37fda0d2146\",\"10d6e672f6e91b809bbf2f11155562d7\",\"6fded6e4e5e54c63a63c07ad290bf77d\",\"b4faf3d090681a1c05b2aeb70c7ba59a\",\"65c59caf00a03850cc9bf1cbe33a0fff\",\"27625ec751269822cb4f53e3d278042d\",\"b6221c2fd79215de3c5f8b24628dd2aa\",\"2041fcecc7fb2fbae57cad76da2ccb45\",\"94f7ecebfa5342bce5c171800e119208\",\"d22c976b09250228618e27d895b61d15\",\"2e73d88f776672da76566bb13dfaf52c\",\"6f63e2c133297ba1c84364e635373c16\",\"992e04c63a870e4e09d83366138928a2\",\"7110a6c1900f29c7556a7b4947520996\",\"af534970d8791b59a0d7b10a6fa96dbc\",\"b7ca38d3eab9516ad0df354cc7a60109\",\"033a861d8a6140544e43a678f1b9b292\",\"b6b2802f133e029c46f69e57d15e4644\",\"b52fcf13c2e79df23db4c63aedc64ae2\",\"f1e3d2d4ed07a563f504ba3b430db391\",\"9c035792eb26bd35d4092974b7890974\",\"0ec584c0b3e27c80378ebd967b058693\",\"782f9ba6d06665dd588c49b8cc10d52e\",\"bcf8f11c44ce6ca1df304a03f91bb797\",\"75c5e54bee37385ff328b6edb147d47b\",\"d99812a77f3a9ba95d51699465b14f0a\",\"cbb31883957a77d9ad8751472b330241\",\"f287e173da4e938ab7a395b41abf9c40\",\"34d5dfc0b935c1bebf36dd80ab700ddc\",\"88b1a512445df6fc929fd8c860529a18\",\"945e3a6e61e4485e746d1528997848f6\",\"78a89b16d454d8ac3894e2a61c2b4a32\",\"2ccaf6c040a726ffa8af52c2fafda212\",\"7032625b49f8d27048efb4ea3a0882c6\",\"c06c7914db4588e83892149c80ae029d\",\"43798523087e84a04e90abe6ff37cfec\",\"c06c7914db4588e83892149c80ae029d\",\"c06c7914db4588e83892149c80ae029d\",\"c06c7914db4588e83892149c80ae029d\",\"86aed2d042ebaa394973d86840dc96e1\"]}","f0aadb43bff92bb4cd729b656ff908fe"]' /> <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_220' id='gform_target_page_number_220' value='0' /> <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_220' id='gform_source_page_number_220' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div> <iframe style='display:none;width:0px;height:0px;' name='gform_ajax_frame_220' id='gform_ajax_frame_220' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.' allow="autoplay; encrypted-media; gyroscope;" nitro-lazy-src="about:blank" class="nitro-lazy">
Close Menu
About Us
How It Works
FAQs
Philanthropy
For Attorneys
Blog
#icouldntsayno
Alexander Brothers Sexual Assault
Baby Food Metals
Birth Injury
California Sexual Abuse
Camp Lejeune
Catholic Church Abuse
Cheerleading Abuse
Chemical Hair Relaxers
Depo-Provera
Dr. Broadbent Sexual Assault
Dr. Brock Sexual Assault
Dr. Hajhosseini Sexual Assault
Dr. Hoefs Sexual Assault
Dr. Lee Sexual Assault
Dr. Ortega Sexual Assault
Dr. Todd Sexual Assault
Equal Pay
Essure
Gel Nails
Hernia Mesh
JUUL E-cigarettes
Latter-Day Saints Abuse
Long-Term Care Abuse
Massage Envy Lawsuit
Mesothelioma
NEC
Ozempic
Paragard
PFAS
Potomac River Plane Crash
Roundup
Real Estate Sexual Assault
Roblox Sexual Abuse
Sean “Diddy” Combs Lawsuit
Sex Trafficking
Sexual Assault Lawsuits
Sexual Harassment
Soccer Abuse
STIIIZY THC Pens
Talcum Powder
Transvaginal Mesh
Troubled Teen Industry
Uber Sexual Assault
Ultra-Processed Foods
Uvalde School Shooting
Video Game Addiction
