Canada Boston Scientific (BSC) Mesh Class Action

FILE A CLAIM

This page is used for uploading your Claim Package. A Claim Package is comprised of the following:

A fully completed Claim Form; and
All records or other documents that support the completed Claim Form.

*Please note that the Claim Package is to be provided as a single submission. You must download a copy of the Claim Form in order to fill it out and then you must upload your completed Claim Form as part of your Claim Package.*

A maximum file size of 30MB can be submitted. If the documentation to be uploaded exceeds 30MB, please contact our support centre at 1-866-795-5067 for further information

If you do not have all your material together to submit your Claim Package, please revisit this page and submit your Claim Package before January 18, 2021.

CLAIMANT INFORMATION

First Name

Last Name

Address 1

Address 2

City

Province

Postal Code

Telephone Number

Please check this box if you are a law firm filing on behalf of a claimant.

Please check this box if you are submitting a claim as the representative of a claimant or estate.

If you are submitting a claim as the Representative of an individual under legal disability or an Estate, as per Section 2 of the claim form, you MUST provide proof of your authority to act as the Representative of an individual under legal disability or an Estate.

If you are a lawyer or agent filing on behalf of a Claimant, Representative of an Estate or Representative of an individual under legal disability, as per Section 3 of the claim form, you MUST complete Schedule “A” as proof of your authority to act on their behalf.

Upload Your Claim Package

In order to submit a Claim Package you must now upload your completed Claim Form along with all records or other documents that support the completed Claim Form.

Click the "Browse" or “Choose File” button and select the relevant file from your computer. The selected files will be uploaded when the "Agree and Submit" button is clicked.

Required documentation may be uploaded in .pdf,.jpg,.jpeg,.tif,.tiff,.gif,.png format only.

You may upload up to 10 files.

Total upload size cannot be larger than 30 MB.

CERTIFICATION I Agree

After clicking the “Agree and Submit” button you will receive an email confirming receipt of your claim. This email will also provide a unique claim ID to be used for all correspondence. A transmittal letter will also be included should you need to mail additional documentation to the Claims Administrator.

Required

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