​Claim Form (PDF)

 

To make a claim for payment, you must complete a Claim Form, and provide it, together with the required supporting documentation, to the Claims Administrator.

 

THE DEADLINE TO SUBMIT YOUR CLAIM IS JANUARY 20, 2025.

 

You may choose any one of the following ways to submit a Claim Form (and supporting documentation):

 

Use the button above to complete the online Claim Form.

 

Mail or courier your completed Claim Form and any supporting documentation to the Claims Administrator at:

 

Mail or Courier

 

Mail or courier your completed Claim Form and any supporting documentation to the Claims Administrator at:

 

Premarin® & Premplus® Settlement

c/o Epiq Class Action Services Canada Inc.

P.O. Box 507 STN B

Ottawa, ON K1P 5P6

 

Mailed claim submissions must be postmarked by no later than January 20, 2025.

 

Email

 

Email your complete Claim Form and any supporting documentation to: info@PremarinClassActionCanada.ca