File A Claim
A Third-Party Payor ("TPP"), or an authorized agent can complete this Claim Form. Individual consumers are not part of this lawsuit.
To file an online Claim Form, please click HERE
To download a blank copy of the Claim Form, please 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.
