To file your claim form, select the class that best describes your claim. Select the form that matches to the benefits you wish to apply for and return the completed form to the Settlement Facility. For information on benefits that are no longer available, refer to the deadlines section on the homepage.
Class 5 – applies to claimants who are a United States citizen or a resident alien of the greater U.S. or whose claim arises from a medical procedure performed in the greater U.S.
Class 5 English
Class 6.1 – applies to claimants who are not a United States citizen or a resident alien of the greater U.S. and whose claim arises from a medical procedure performed outside the greater U.S. Foreign claimants are categorized based on their country of residence. For more information on foreign claimant class assignment, refer to Annex A To The Settlement Facility and Fund Distribution Agreement (Annex A), Section 6.05, (h) (i)
Class 6.1 English
Class 6.1 Dutch
Class 6.1 French
Class 6.1 German
Class 6.1 Swedish
Class 6.2 – applies to claimants who are not a United States citizen or a resident alien of the greater U.S. and whose claim arises from a medical procedure performed outside the greater U.S. Foreign claimants are categorized based on their country of residence. For more information on foreign claimant class assignment, refer to Annex A To The Settlement Facility and Fund Distribution Agreement (Annex A), Section 6.05, (h) (i)
Class 6.2 English
Class 6.2 Spanish
Class 6.2 Portuguese