Online Claim Form

Submit a claim for the Clark v. S.C. Johnson & Son, Inc.

Claim Form
CLAIM FORM AND INSTRUCTIONS

In order for you to receive a cash payment from the Settlement in the class action lawsuit concerning Windex “Non-Toxic” Products, named Clark v. S.C. Johnson & Son, Inc., you must complete and submit a Claim Form, as described below.

REQUIREMENTS FOR FILING A CLAIM FORM
Your claim will only be considered if you comply with all of the following:
Please review the Notice of Proposed Class Action Settlement (the “Notice”) and have the Notice with you when you complete your Claim Form.
  1. You must accurately complete all required portions of this Claim Form. Please complete only one Claim Form if you are submitting a claim, regardless of the number of qualifying Windex “Non-Toxic” products purchased.

  2. You must sign this Claim Form.

  3. In order for you to receive a cash payment, you must submit a completed Claim Form online or by sending a paper Claim From via First Class U.S. Mail to:

    Clark v. SC Johnson & Son Inc.
    PO Box 131
    Warminster, PA 18974-0131

  4. Your failure to complete and submit the Claim Form by October 29, 2021 will preclude you from receiving any payment in this Settlement.

Section I: CLAIMANT INFORMATION

Section II: PURCHASE INFORMATION

  • To qualify for a cash payment, you must have purchased one or more of the Windex products with a “non-toxic formula” label between January 1, 2019 and July 9, 2021, including: Windex Original, Windex Vinegar, Windex Ammonia-Free, and Windex Multi-Surface.

  • You may make a claim for one of the following:
    • a. For Settlement Class Members without proof of purchase, but who complete this Claim Form under penalty of perjury, the Settlement Fund will issue a monetary refund up to a maximum of $10.00 ($1.00 per product purchased for up to ten (10) products purchased.)

    • b. For Settlement Class Members who provide Proof of Purchase, the Settlement Fund will issue a $1.00 cash payment for each purchase of a qualifying product without limitation. “Proof of Purchase” means a receipt or other documentation reasonably establishing purchase of the Product(s) during the Class Period in the United States. Proof of Purchase may be in the form of any reasonably reliable proof, such as an itemized store receipt or loyalty/membership card print-outs, non-identical original UPC codes or pictures of non-identical UPC codes for each purchased Product.

  • The Settlement Administrator may adjust the cash payment amount on a pro rata basis if the total amount of claims exceeds the available Settlement Funds.

PLEASE CHOOSE ONE OF THE FOLLOWING (SELECT ONLY ONE):

Option One: DOES NOT HAVE PROOF OF PURCHASE
I purchased Windex Product(s) with a “Non-Toxic Formula” label, but I do not have a Proof of purchase.
Option Two: DOES HAVE PROOF OF PURCAHSE
I purchased Windex Product(s) with a “Non-Toxic Formula” label, and I do have a Proof of Purchase. (If you select this option, please attach your Proof of Purchase, which means a receipt or other documentation reasonably establishing the fact of purchase of the Product(s), such as an itemized store receipt or loyalty/membership card print-outs, non-identical original UPC codes or pictures of non-identical UPC codes for each purchased Product.)
NUMBER OF PRODUCTS PURCHASED
TYPE OF PRODUCT(s) PURCHASED
APPROXIMATE DATES OF PURCHASE

Section III: ACKNOWLEDGEMENT

*  I declare, under penalty of perjury, that the information in this Claim Form is true and correct to the best of my knowledge, and that I purchased the Product(s) claimed above in the United States during the Class Period for personal or household use and not for resale. I understand that my Claim Form may be subject to audit, verification, and/or Court review.

 




This website is authorized by the Court, supervised by counsel and controlled by, the Settlement Administrator approved by the Court. This is the only authorized website for this case.

For more information please call 1-855-229-7512

Documents

Please read for a full explanation of the settlement and your options and all applicable timelines.

Exclusion Form

Click here to safely and securely submit an Exclusion.

Objection Form

Objection Form

Submit Claim

Click here to safely and securely submit a Claim Form.

Contact

Contact us with any inquiries, comments, and/or requests.

Important Dates

  • Exclusion Deadline

    Friday, October 29, 2021
    Get out of the Settlement and retain your right to pursue your own lawsuit for these claims.  Get no cash payment from the Settlement.  You must complete and mail your request for exclusion form so that it is postmarked no later than Friday, October 29, 2021. You may also upload an Exclusion Form on this website under the Exclusion Section.
  • Objection Deadline

    Friday, November 12, 2021
    You may write to the Court about why you do, or do not, like the Settlement.  You must remain in the class to comment in support of or in opposition to the Settlement.  You must mail your objection(s) so that it/they are postmarked no later than Friday, November 12, 2021. You may also upload an Objection Form on this Website under Objection Form.
  • Claim Form Deadline

    Friday, October 29, 2021
    This is the only way to get a cash payment.  You must submit your Claim Form online no later than Friday, October 29, 2021, or mail your completed paper Claim Form so that it is postmarked no later than Friday, October 29, 2021.
  • Final Approval Hearing Date

    Tuesday, December 7, 2021
    Speak in Court to object to or comment on the fairness of the Settlement.  You may enter your appearance in Court either yourself or through an attorney at your own expense, if you so desire. The Final Approval Hearing is scheduled for Tuesday, December 7, 2021. Please check this Website for updates.

Important Documents

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