If you need to make changes to a claim you have submitted, please enter the Claim ID and Confirmation Code you were provided below.

Please remember to enter the full Claim ID exactly as it appears on your confirmation email (i.e. 12345678).

Please add the email, Confirmation@WipeOutSettlement.com, to your contact list to ensure that future correspondence is delivered to your inbox.

Read the full Notice of this settlement carefully before filling out this Claim Form.

I. CLAIMANT INFORMATION

Provide your name and contact information below. You must notify the Settlement Administrator if your contact information changes after you submit this form.

* Required Fields

II. PURCHASE INFORMATION

The Wipe Out! Products include the Wipe Out! Wipes, the Wipe Out! Multi-Surface Wipes, and the Wipe Out! Multi-Surface Decontaminant Spray (the “Products”).

Class members who submit Proofs of Purchase for the Products, such as receipts showing price paid, date purchased, and location purchased from, establishing each purchase during the Class Period, may receive a $3 cash award per Product purchased up to $15.00, subject to pro rata adjustment.

If you do not have Proofs of Purchase for the Products, you are entitled to receive a $2.00 cash award for every Wipe Out! Product you purchased before or on April 19, 2023, up to a maximum of $6.00, subject to pro rata adjustment.

Packaging, including bar codes or UPCs, shall constitute valid Proof of Purchase only if the Product(s) claimed to have been purchased can be identified from the packaging submitted. Failure to include Proof of Purchase for claims in excess of $6.00 will result in the claim being reduced to $6.00. Submission of false or fraudulent information will result in the claim being rejected in its entirety.

Describe Wipe Out! Products purchased and proofs of purchase enclosed:

Product Name Proof of Purchase Description

Describe the Product, approximate purchase date, purchase price, and location of each purchase:

Product Name Approximate Date of Purchase (MM/DD/YY) Approximate Price Name of Retail Store Product was Purchased Store Location
III. Supporting Documentation

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected.

Please confirm in the grid below that your file has been successfully uploaded.

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    IV. PREFERRED PAYMENT METHOD

    You have successfully requested a payment. Click here if you would like to choose a different payment method.

    V. ATTESTATION UNDER PENALTY OF PERJURY

    I declare under penalty of perjury under the laws of the United States of America that I purchased the products listed above on or before April 19, 2023 and that all of the information on this Claim Form is true and correct. I understand that my Claim Form may be subject to audit, verification, and Court review.

    Your Claim Form has been submitted successfully.

    Please print this page for your records.

    Your Claim Details
    Submitted Claim ID:
    Confirmation Code:
    You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
    CLAIM INFORMATION
    First Name
    Last Name
    Street Address
    Street Address 2
    City
    State
    Province
    Zip Code
    Postal Code
    Country
    Email Address
    Phone Number
    Signature
    Date

    If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at Info@WipeOutSettlement.com

    Click here to edit your Claim.