Claim Form
To obtain any Settlement Benefits, you must follow the instruction on the Claim Form. All Claim Forms, together with supporting photographs, documentation and any other information, as applicable, must be mailed by first-class United States Mail, postage prepaid to the Claims Administrator at:
EZ-Flo Settlement Claims Administrator
P.O. Box 404041
Louisville, KY 40233-4041
To file a claim, print complete, and mail the fully completed Claim form below with the appropriate supporting documentation according to the instructions on the Claim Form by the claim filing deadline.
For more information about the Settlement and the claims filing process, please review the Notice and other court documents found on the Case Documents page on this website.
Claim Filing Deadline:
- For claims based on Exterior Meringue Deposits, Settlement Class Members must complete and submit a Claim Form and supporting documentation no later than June 7, 2020.
- For claims based on Occlusions or Inoperable Valves, Settlement Class Members must complete and submit a Claim Form and supporting documentation no later than June 7, 2022.
- For claims based on Leaks, Settlement Class Members must complete and submit a Claim Form and supporting documentation within the later of June 7, 2022 or seven (7) years from the Date of Manufacture. In addition, for claims based on Leaks that occur after June 7, 2019, a Claim Form and supporting documentation must be submitted within one (1) year of the date of the leak.