On-Line Claim Form

Submit a claim for the Chacon et al. v. Nebraska Medicine

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844-367-8806
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Chacon v. Nebraska Medicine
c/o Claims Administrator
PO Box 8517
Philadelphia, PA 19101-8517

Documents

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

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

Important Dates

  • Exclusion Deadline

    Tuesday, September 7, 2021 You must complete and mail your request for exclusion so that it is postmarked no later than Tuesday, September 7, 2021.
  • Objection Deadline

    Tuesday, September 7, 2021 You must mail your objection(s) and/or notice of intent to appear at the Final Fairness Hearing so that it/they are received no later than Tuesday, September 7, 2021.
  • Final Fairness Hearing Date

    Wednesday, September 15, 2021 The Final Fairness Hearing is scheduled for Wednesday, September 15, 2021.  Please check this website for updates.
  • Claim Form Deadline

    Monday, October 4, 2021 You must submit your Claim Form online no later than 11:59 p.m. Central Time on Monday, October 4, 2021, or mail your completed paper Claim Form so that it is postmarked no later than Monday, October 4, 2021.

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