Compensation Entry Form Complete the form below to enter your case in the Camp Lejeune Contaminated Water Victim Compensation Database. Were you present at Camp Lejeune for more than 30 days (cumulative), between August 1st 1953 and December 31st 1987?(Required)Please select one of the options below.Select oneYesNo Please select the reason you were living at Camp Lejeune(Required) Marine Spouse of Marine Child of Marine Civilian Employee Other Were you diagnosed at any time with any of the following?(Required)Select oneLeukemia (all types)Parkinsons DiseaseEsophageal CancerNon-Hodgkin’s LymphomaBladder CancerLung CancerHepatic steatosisMultiple myelomaKidney CancerMyelodysplastic Syndrome Based on Your Answers You Could Qualify for Financial Compensation!Enter your details below to Complete Your Camp Lejeune Database Entry.Please enter your contact details below.Name(Required) First Last Email(Required) Phone(Required)