On-Line Claim Form

Submit a claim for the Canada Dry Ginger Ale Settlements

Claim Form

General Instructions

To make a claim under the Settlement, you must complete this form by 11:59 pm PT on March 19, 2019. 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).

You can submit a Claim for a Benefit Check under this Settlement if you purchased any Canada Dry Ginger Ale Products in the United States, between January 1, 2013, and December 19, 2018, which contained the terms “Made from Real Ginger” on the labels, including those listed in the Petition.

Before you complete and submit this Claim Form, you should read and be familiar with the Settlement Notice (“the 49-State 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 49-State 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 the Settlement Class, you will be bound by any judgment entered by the Court approving the Settlement regardless of whether you submit a Claim Form. You can elect one Benefit per Household.

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.

Claimant Information

Did you purchase Canada Dry Ginger Ale Products solely in the state of California between December 28, 2012, and the present?

Please select which Tier you believe is applicable to your claim

Tier 1

Tier 1 Benefit is available for Settlement Class Members who purchased Canada Dry Products during the Class Period and do not have a valid Proof of Purchase. You may receive a Benefit of $0.40 per Unit purchased, up to 13 Units, for a maximum of $5.20 per Household. You may receive a minimum payment of $2.00 per eligible Household. Settlement Class Members, however, could receive less than $0.40 per Unit or the $2.00 minimum payment, depending on a number of factors, including how many Valid Claims are actually submitted.

1. Please identify the Canada Dry Product(s) you purchased.

Canada Dry Ginger Ale – Regular
Canada Dry Ginger Ale - Diet
Canada Dry Ginger Ale - Cranberry
Canada Dry Ginger Ale – Diet Cranberry
Canada Dry Ginger Ale - Blackberry
Canada Dry Ginger Ale - Ten
Canada Dry Ginger Ale and Lemonade
Canada Dry Ginger Ale – Made with Real Sugar
Other - __________ Please explain

2. How many Unit(s) did you purchase?

3. Approximate month(s) and year(s) of purchases:

Month of Purchase *
Year of Purchase *

4. Please identify the store(s) where you purchased the products: (Optional)

Tier 2

Tier 2 Benefit is available for Settlement Class Members who purchased the Products during the Class Period and have a valid Proof of Purchase. You may receive up to a maximum of $0.40 per Unit, up to a maximum of 100 units or $40.00 per Household. However, the maximum amount could be less than $40.00, depending on a number of factors, including how many Valid Claims are actually submitted.

1. Please attach Proof(s) of Purchase.

 

 

Submission to Jurisdiction of the Court

By signing below, you are submitting to the jurisdiction of the Circuit Court of the City of St. Louis, State of Missouri.

*  I hereby affirm, under penalty of perjury, that the information I have provided in this Claim Form is true and correct to the best of my knowledge and this is the only Claim Form that I have submitted.

Certification under Penalty of Perjury

 




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 833-305-3916

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Documents

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

Contact

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Submit Claim

Click here to safely and securely submit a Claim Form.

Important Dates

  • Exclusion Deadline

    Tuesday, March 19, 2019 You must complete and mail your request for exclusion form so that it is received no later than Tuesday, March 19, 2019.
  • Objection Deadline

    Tuesday, March 19, 2019 You must mail your objection(s) and/or notice of intent to appear at the Final Approval Hearing so that it/they are received no later than Tuesday, March 19, 2019.
  • Claim Form Deadline

    Tuesday, March 19, 2019 You must submit your Claim Form on-line no later than Tuesday, March 19, 2019, or mail your completed paper Claim Form so that it is received no later than Tuesday, March 19, 2019.

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