To make a claim under the settlement, you must complete and submit this form on or before February 28, 2019. All information will be kept private. It will not be disclosed to anyone other than the Court, the Claims Administrator, and the Parties in this case, and will be used only for purposes of administering this settlement. Importantly, your submission, whether online or by mail, will be submitted to a federal court and subject to the penalty of perjury carrying penalties under U.S. laws including criminal, civil and financial penalties for fraudulent submissions.
This Settlement involves Charmin Freshmates Flushable Wipes and any other pre-moistened wipes sold under the Charmin brand name bearing the word “flushable” on the package label (the “Product”). If your claim is validated and the Court approves the settlement, you will receive a refund of sixty cents ($0.60) for every package of the Product you purchased in the United States between April 6, 2011 and November 26, 2018 except for purchases in New York. If you do not submit Proof of Purchase, your total refund will be limited to $4.20 per household. If you wish to receive a refund for more than seven products, you must submit Proof of Purchase. Proof of Purchase means an itemized sales receipt originally generated by a retail seller showing the date and place of purchase, name of the product purchased, and the amount paid. Even if you submit Proof of Purchase, your total refund will be limited to $30 per household.
Refunds will be issued after the Settlement’s Effective Date. Please retain your confirmation number for your records. In order to receive a refund, you must complete all of the information below as well as electronically signing and dating the form.
I Purchased the below packages of the Product between April 6, 2011 and November 26, 2018:
If you do not submit Proof of Purchase, you can only submit a claim for up to 7 packages. If you wish to make a claim for more than 7 packages, you must submit Proof of Purchase.
Upload Proof of Purchase Documents:
These purchases were not made in New York, and were not for purpose of resale to others. I certify under penalty of perjury under the laws of the United States that all of the foregoing is true and correct.
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Long Form Notice
You must submit your exclusion request online no later than Thursday, February 28, 2019, or mail your request for Exclusion Form so that it is received no later than Thursday, February 28, 2019.
You must submit your Claim Form online no later than Thursday, February 28, 2019, or mail your completed paper Claim Form so that it is received no later than Thursday, February 28, 2019.