Get Western Dental Settlement

Completing the Western Dental Settlement Claim Form online is an important step in receiving a settlement payment. This guide will provide clear, step-by-step instructions to help you navigate the form effectively and efficiently.

Follow the steps to complete your claim form online

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering your contact information. Fill in the required fields for your first name, middle initial, last name, current address, city, state, ZIP code, telephone number on the date you received a text message, and email address.
3. If necessary, provide a current phone number where you can be reached for any additional inquiries regarding your claim.
4. Proceed to the Class Member Verification section. Here, assert under penalty of perjury that you received one or more text messages from Western Dental after responding 'stop' to their message.
5. Enter the date of your signature in the specified format, ensuring it is accurately completed.
6. Finally, sign the form by printing your name and submitting it according to the provided instructions. Ensure that all required fields are completed and verify that the form is saved properly for your records.

Submit your completed claim form online today to ensure you receive your settlement payment.