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 20 files.
A single file cannot be larger than 10 MB.
By submitting this claim, you acknowledge that you hold the Settlement Administrator harmless from any and all losses, claims, liabilities,
damages, or suits arising out of or in connection with the issuance of any distribution payment in this matter, including those resulting from
the submission of incorrect contact information or fraud.
*Payment amounts will be reduced on a pro rata basis (equally proportioned) if the total amount of money claimed with proof of purchase
is more than $2,000,000.00.
**Payment amounts will be reduced on a pro rata basis (equally proportioned) if the total amount of money claimed without proof of
purchase is more than $1,000,000.00.