This official website is maintained by the Claims Administrator under the supervision of Class Counsel. Please use the link below for a copy of the Claim Form and Release.
THIS CLAIM FORM CONTAINS FOUR (4) SECTIONS, ALL OF WHICH MUST BE COMPLETED BEFORE THE FORM IS SUBMITTED, INCLUDING THE VERIFICATION ON THE LAST PAGE. YOUR CLAIM WILL NOT BE SUBMITTED UNTIL AFTER YOU COMPLETE THE VERIFICATION AND PRESS THE BLUE “SUBMIT” BUTTON.
Please print the verification for your records.
To complete the online Claim Form and Release, click here.
Note: These documents are in PDF format. To view the
documents, you will need Adobe Acrobat Reader on your computer or other internet-enabled device.