Edit, Download, and Sign the Neurontin Antitrust Litigation Claim Form Instructions

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How do I fill this out?

To fill out this form, carefully read each section and collect the necessary purchase documentation. Ensure that your claim form is complete and signed under penalty of perjury. Send your completed form to the Claims Administrator by the specified deadline.

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How to fill out the Neurontin Antitrust Litigation Claim Form Instructions?

  1. 1

    Read the introduction and instructions thoroughly.

  2. 2

    Gather documentation of your qualifying purchases.

  3. 3

    Complete each section of the claim form accurately.

  4. 4

    Sign the form to verify your claim under penalty of perjury.

  5. 5

    Submit the form to the Claims Administrator by the deadline.

Who needs the Neurontin Antitrust Litigation Claim Form Instructions?

  1. 1

    Businesses that purchased Neurontin during the class period to claim their share.

  2. 2

    Individuals who used Neurontin and wish to join in the settlement.

  3. 3

    Pharmacies that distributed Neurontin or generic gabapentin to request their portion of the settlement.

  4. 4

    Healthcare providers who prescribed Neurontin and want to validate their claims.

  5. 5

    Class members who missed earlier notifications about the settlement and need to file a claim.

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What are the instructions for submitting this form?

To submit your claim form, mail it to the following address: Claims Administrator, In re Neurontin Antitrust Litigation, c/o Berdon Claims Administration, LLC, P.O. Box 9014, Jericho, NY 11753-8914. Ensure it is postmarked by the specified deadline for it to be processed. Additionally, you may consult the Claims Administrator at 800-766-3330 for any further inquiries regarding the submission process.

What are the important dates for this form in 2024 and 2025?

Important dates for submitting your claim form include the submission deadline which should be specified on the claim form. Ensure all forms are postmarked by this date to be considered valid. Keep an eye on any additional dates for future claims or further information updates.

importantDates

What is the purpose of this form?

The purpose of this form is to facilitate claims from class members involved in the Neurontin antitrust litigation. It enables eligible purchasers of Neurontin and generic gabapentin to assert their rights to a share of the settlement fund. Completing this form accurately is crucial for ensuring proper distribution of the funds.

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

This form consists of several key components essential for filing a claim.
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  • 1. Contact Information: Includes the claimant's name, address, phone, and email.
  • 2. Purchase Details: Requires details of Neurontin and generic gabapentin purchases during the class period.
  • 3. Signature: A section for signing the form under penalty of perjury.
  • 4. Date of Submission: The date when the claim form is being submitted.
  • 5. Attachments: Any necessary documentation to support the claim.

What happens if I fail to submit this form?

If the claim form is not submitted correctly or on time, the claim may be rejected. Class members who fail to submit a complete claim form will not be eligible for compensation from the settlement. This emphasizes the importance of following the instructions carefully.

  • Missing Postmark Deadline: If not submitted by the deadline, you will be ineligible for the claim.
  • Incomplete Information: Any missing details will result in a rejection of your claim.
  • Lack of Signature: Failure to sign the form could invalidate your submission.
  • Insufficient Documentation: Not providing sufficient evidence of purchase may lead to claim denial.
  • Errors in Calculation: Discrepancies in reported amounts can cause your claim to be questioned.

How do I know when to use this form?

You should use this form if you are an eligible class member who has purchased Neurontin or generic gabapentin during the class period. It is required for claiming your portion of the settlement fund successfully. Submitting this form is vital for ensuring your participation in the litigation settlement.
fields
  • 1. Class Member Claims: For individuals and entities wanting to claim their settlement.
  • 2. Contribution Validation: To verify qualifying purchases and eligibility.
  • 3. Litigation Participation: To ensure participation in the Neurontin antitrust litigation.
  • 4. Settlement Fund Allocation: To identify how funds will be distributed among eligible claimants.
  • 5. Documentation Submissions: To submit required supporting documents for claim verification.

Frequently Asked Questions

What is this form for?

This form allows class members to claim their share of the Neurontin antitrust settlement.

How do I submit the claim form?

You can submit the claim form by mailing it to the Claims Administrator at the provided address.

What if I disagree with the purchase amount?

You can file a claim based on your internal records if you believe the estimated purchase amount is inaccurate.

Is there a deadline for submission?

Yes, your completed claim form must be postmarked by the specified deadline.

Can I edit the PDF before submitting?

Absolutely! You can make edits using PrintFriendly’s PDF editor.

What happens after I submit the form?

After submission, the Claims Administrator will review your claim for eligibility.

Can I share the PDF with others?

Yes, you can easily share your PDF after editing it on PrintFriendly.

What should I do if I have questions about my claim?

Direct any inquiries regarding your claim to the Claims Administrator via the contact information provided.

How do I know if I'm eligible to claim?

You must have purchased Neurontin or generic gabapentin during the class period to be eligible.

What is the net settlement fund?

The net settlement fund is the total amount available for distribution among eligible class members after expenses.

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