Claim Form

In order to prepare the Claim Form so that you can download and print it with the bar code needed for us to process it, please fill out the form below and click Submit. This is a large file and might take a few minutes.

Once your personalized Claim Form has been generated and you have printed it out, you must mail the completed form to the address listed on the printed Claim Form.

Please note, you must wait 24 hours after downloading a Claim Form to upload that Claim Form through this website.

Acrobat Reader is Required to download the Claim Form which will be in PDF format. You may already have the Adobe Acrobat Reader on your computer or on disks that came with your computer. If you do, you won't need to download Adobe Acrobat.

If you do not have Acrobat, please click here to download the Free Adobe Acrobat Reader.

Contact Information
First Name:
Last Name:
Country:
Enter Your Country:
Address:
City:
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Important Dates
DateDeadline
January 15, 2014
[Expired]
Exclusion Deadline
(postmarked)
January 15, 2014
[Expired]
Objection Deadline
(postmarked)
February 14, 2014
[Approved]
Fairness Hearing
60 Days After the Final Settlement Date* Claim Form Deadline
(postmarked)

Your Options

  • To participate in the Settlement, submit a Claim Form
  • To find out additional details regarding the Settlement, please read the Class Notice

* As defined in the Settlement Agreement, the Final Settlement Date is the date on which the judgment in this case (“Judgment”) becomes Final. If no appeal has been taken from the Judgment, the Final Settlement Date means the date on which the time to appeal has expired. If any appeal has been taken from the Judgment, the Final Settlement Date means the date on which all appeals have been finally disposed of in a manner that affirms the Judgment. Thus, the claim deadline will be no earlier than June 14, 2014.