Get You Must Complete This Claim Form In Its Entirety Using Blue Or Black Ink

Filling out the claim form accurately is essential to ensure your participation in the settlement. This guide will provide you with detailed instructions on how to complete the claim form online using blue or black ink effectively.

Follow the steps to successfully complete your claim form online.

1. Press the ‘Get Form’ button to access the claim form. This will allow you to view and complete the document in an online environment.
2. Begin with the claimant information section. Fill in your first name, middle initial, last name, address, city, state, zip code, email address, and daytime telephone number. Ensure that each entry is clearly written.
3. In the claim information section, provide details for each qualifying purchase of Boiron products. Input the product name, store name, address of the store, city, state, date of purchase, purchase price, and whether proof of purchase is attached. If more space is required, use a separate sheet.
4. If you are submitting a claim without proof of purchase, fill out the necessary claim information to the best of your knowledge and prepare to sign the certification under penalty of perjury.
5. Complete the certification section by reading each statement carefully and signing the form to confirm that all information is true and correct.
6. Review the completed claim form for accuracy. Once confirmed, you can save your changes, download the form, and then print it for submission.
7. Mail your fully completed and signed claim form, along with proof of purchase if available, to the Boiron Settlement Administrator at the specified address.

Be sure to complete your claim form online today for a timely submission!