Claim Form


To receive a payment from the Settlement Fund, you must complete and submit this Claim Form by June 04, 2020. Please read this form carefully and follow the instructions below.

You may submit the Claim online by clicking “File a Claim” below, completing the required information, and clicking “Submit” by  June 04, 2020. You may also print out and mail the form, available on the Important Documents page.


To begin your claim, please enter your Claim ID number on the settlement notice you received (it is not required to file a claim).
If you do not have your Claim ID number available, you may skip this step by clicking “File a Claim” below.