Please Read These Instructions Carefully
Auto Airbag Settlement
Important: No Registration/Claim Forms may be submitted after the Final Registration/Claim deadline. The Effective Date and the Final Registration/Claim deadline are not yet known, but will be posted prominently on this Settlement website when they are known.
If you are or were the registered owner or lessee of more than one Subject Vehicle, you must submit a separate Registration/Claim Form for each Subject Vehicle to obtain a separate out-of-pocket Settlement Payment for each Recall Remedy performed on each Subject Vehicle you own(ed) or lease(d). However, claims for unreimbursed expenses cannot be duplicative.
If you are filing claims on behalf of a third-party client or have a substantial amount of vehicles, please do not complete this form. Instead, send an email to info@AutoAirbagSettlement.com, with your name, contact information, and state that you would like more information on how to submit a “Fleet Claim”. One of our processing agents will respond and be in contact with you.
Capitalized terms in the Form have the same meaning as provided in the Settlement Agreement. The Long-Form Notice, also explains key terms of the Settlement, including the definition of Effective Date.
Please provide all required information (as indicated by*) to complete and submit the Registration/Claim Form, attach supporting documentation, and sign/certify the form.
Important: If your Claim is rejected for any reason, you will be notified and given an opportunity to address any deficiencies. The Settlement Special Administrator’s decisions regarding Claims for reimbursement of out-of-pocket expenses submitted by Class Members is final and cannot be appealed.
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