Chipotle Class Action Settlement Notice
This document provides important information regarding the class action settlement against Chipotle Mexican Grill, Inc. If you purchased food products containing meat and dairy at Chipotle during the specified dates, this notice outlines your rights and options. Please read carefully to ensure you understand your entitlements.
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How do I fill this out?
To fill out this form, gather your purchase information including receipts if available. Carefully follow the instructions provided in each section of the form. Ensure that all information is accurate before submission.

How to fill out the Chipotle Class Action Settlement Notice?
1
Read the notice carefully to understand your rights.
2
Gather necessary documents, such as receipts or proof of purchase.
3
Complete the claim form accurately and completely.
4
Submit your claim form by the deadline specified.
5
Keep a copy of the submitted form for your records.
Who needs the Chipotle Class Action Settlement Notice?
1
Customers who bought food products with meat/dairy at Chipotle during the specified period.
2
Individuals seeking compensation for the class action settlement.
3
Consumers affected by misleading advertising by Chipotle.
4
Anyone who wants to understand their legal rights in this case.
5
People wanting to ensure their claims are valid and submitted on time.
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What are the instructions for submitting this form?
To submit your claim, download the form, fill in your details, and send it to the specified address or fax number as outlined. You may also submit your claim electronically through the designated online form. Ensure that you keep a copy of your submission for your records.
What are the important dates for this form in 2024 and 2025?
The main deadline for submitting claims is May 30, 2020. Future years are outside the context of this settlement as it's specific to claims submitted from purchases in 2015 and 2016.

What is the purpose of this form?
The purpose of this form is to notify consumers about their rights in relation to the settlement against Chipotle Mexican Grill, Inc. It serves as a means for class members to claim compensation for purchases made during the affected period. Additionally, it provides essential information on how to proceed with claims and the implications of the settlement.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The full name of the claimant.
- 2. Address: The current postal address of the claimant.
- 3. Purchase Information: Details regarding the purchased products, including dates and types.
- 4. Proof of Purchase: Upload or provide a description of proof of purchase.
- 5. Signature: Digital or written signature affirming the accuracy of the claim.
What happens if I fail to submit this form?
If you fail to submit this form, you will not be eligible for compensation from the class action settlement. You will also lose your right to pursue any claims against Chipotle related to this settlement.
- Loss of Compensation: Not submitting the form means you cannot receive any financial settlement.
- Legal Rights Waived: Failure to act may result in forfeiting your legal rights and options.
- Eligibility Issues: You must submit the form within the stipulated timeframe to be considered.
How do I know when to use this form?

- 1. Claiming Compensation: To initiate a request for financial compensation.
- 2. Documenting Purchases: To keep a record of your food purchases related to the settlement.
- 3. Understanding Rights: To comprehend your legal rights in the context of this settlement.
Frequently Asked Questions
What is this settlement about?
This settlement addresses claims against Chipotle regarding misleading advertising related to its 'non-GMO' products.
Who is eligible to file a claim?
Anyone who purchased food products containing meat or dairy from Chipotle within the specified dates may file a claim.
How do I submit a claim?
You can submit a claim by completing the provided form and sending it in before the deadline.
What if I don't have proof of purchase?
You can still submit claims without proof of purchase, but the number of valid claims will be limited.
When is the deadline for submissions?
The deadline to submit a claim is May 30, 2020.
What type of compensation can I expect?
Compensation is capped at $2.00 per valid claim, depending on the number of claims submitted.
Can I opt out of the settlement?
Yes, you can exclude yourself from the settlement, but you will lose the right to compensation.
What happens if my claim is not approved?
If your claim is not approved, you will not receive compensation but will retain your right to sue Chipotle.
How will payments be issued?
Payments will be distributed after the court approves the settlement and will be made via electronic payment or check.
Is there any fee for filing a claim?
No, there are no fees for filing a claim in this settlement.
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