REIMBURSEMENT CLAIM FORM

Only submit this Claim Form if you are seeking reimbursement for prior out-of-pocket expenses. You do not need to submit this Claim Form to receive the Extended Warranty coverage. To receive future Extended Warranty coverage, you must submit the separate Request for Settlement Extended Warranty Battery Service Form here.

The deadline to submit the Claim Form and supporting documentation is 60 days after the Effective Date, which could be as early as May 5, 2023.

Please enter the Unique ID and PIN from the Notice packet you received to file a Claim Form. If you do not have your Unique ID and PIN, enter the VIN of your Settlement Class Vehicle. Click here for information on how to locate your Unique ID and PIN on the Postcard Notice. You may also call or email the Settlement Administrator for assistance.