By filling out the form below, you are sharing your story with me. I will not share your name and contact information with others. I will not share your name, story or other information publicly unless we correspond further and you give me permission to do so. I am documenting the stories of the veterans and others who have spent time at Fort McClellan or with a Fort McClellan veteran and believe that they are ill because of their time at Fort McClellan. The responses on this form will be processed via Google Docs. If you would rather email me directly, you can send an email to firstname.lastname@example.org. Thank you for sharing your story with me.
Click on the form below and scroll within the box to fill in your answers. Contact me at email@example.com if you have trouble with this form.