This form is for use by Class Members who previously submitted a claim and now want to update their address or other contact information. This form cannot be used to submit a new claim or to respond to a notice.
When you complete the form below, you will have the option to “check the box” to indicate whether or not you are interested in receiving an e-payment for your claim. This is only an expression of interest; you are not committing yourself to the e-payment process if you check the box.
Please complete this form with as much information as possible to assist in matching your update to your claim.