You can submit a Claim for a Benefit Check under this Settlement if you purchased any Canada Dry Ginger Ale Products in California, between December 28, 2012, and June 26, 2018.
Before you complete and submit this Claim Form, you should read and be familiar with the Settlement Notice (“the California Notice”) available on this website. Defined terms (with initial capitals) used in these General Instructions have the same meaning as set forth in the respective Settlement Agreement for each Settlement. By submitting this Claim Form, you acknowledge that you have read and understand the California Notice for the Settlement at issue, and you agree to the Release(s) included as a material term of the Settlement Agreement.
If you fail to timely submit a Claim Form, you may be precluded from any recovery from the Settlement fund. If you are a member of the Settlement Class and you do not timely and validly seek to Opt-Out from that Class, you will be bound by any judgment entered by the Court approving the Settlement regardless of whether you submit a Claim Form.
The information will not be disclosed to anyone other than the Court, the Settlement Administrator, and the Parties in this case, and will be used only for purposes of administering this Settlement (such as to audit and review a claim for completeness, truth, and accuracy).
Settlement Class Members who seek payment from the Settlement must complete this Claim Form. Claim Forms must be SUBMITTED ONLINE NO LATER THAN MARCH 19, 2019 at 11:59 p.m., Pacific Time.
District of Columbia
All claimants may receive a Benefit of $0.40 per Unit purchased, with a
payment of minimum per Household. $2
have Proof of Purchase, you can claim the Benefit for up do not Units, for a 13 of maximum per Household. $5.20
have Proof of Purchase, you can claim the Benefit for up do Units, for a 100 of maximum per Household. $40
“Proof of Purchase” means a receipt or other documentation from a third-party commercial source that reasonably establishes the fact and date of purchase of the Product during the Class Period in the United States.
1. Did you purchase Canada Dry Ginger Ale Products in the state of California between December 28, 2012, and June 26, 2018?
2. How many Unit(s) did you purchase?
3. Please identify the Canada Dry Product(s) you purchased.
4. Approximate month(s) and year(s) of purchases:
Month of Purchase
Year of Purchase
5. Please identify the store(s) where you purchased the products: (Optional)
Proof of purchase is NOT required if you make a claim for up to 13 products. Proof of purchase IS required if you make a claim for 14 or more products. To provide Proof of Purchase, attach it to this form and sign where marked on the last page of the form.
Submission to Jurisdiction of the Court