File a Claim
To submit your Claim online, you will need the following information:
- Notice ID (located on the upper right-hand corner of your claim form)
- Your 9-digit PIN (located on the upper right-hand corner of your claim form).
- An email address
Your online Claim must be submitted on or before 11:59 PM (Eastern) on June 3, 2019.
- Once completed, a copy of your online Claim form will be emailed to you.
- You should NOT submit both an online claim AND a paper form. Only one Claim form will be accepted per qualified individual.
If you are missing any of the required items, or are uncomfortable submitting this information online, you can still participate in the Class Action by downloading and completing a paper Claim form using the button below.
If you are need to request a name change, please submit a paper claim with a copy of your driver's license, court document, marriage license, or any supporting documentation for your request.
If you choose to submit a paper Claim form, it must be postmarked on or before June 3, 2019.
Note: If you file a claim electronically and you receive confirmation, please do not file an additional claim through the mail.