If you qualify as a member of the Settlement Class as described in the Notice, please fill out this form completely and accurately. Estimates should not be used when completing the Claim Form. Although you are not required to submit documentation at this time, please keep all records used to complete the Claim Form. You may be subject to audit and will need to produce documentation for your claimed purchases.

Please make sure you have all the data needed to file this claim, as you will not be able to log out and continue your claim at a later time. Once you have submitted your claim, any changes will need to be mailed to the Claims Administrator.

Claimant Information:

Type of Entity:
Type of Dealership: