Pest Control Settlement Claim Form Back to Home Update The deadline to file a claim has expired. The Court in charge of this case still has to decide whether to approve the settlement. Payments for valid claims will be issued only if the Court approves the settlement and after the time for appeals has ended and any appeals are resolved. Please be patient. The Final Approval Hearing is scheduled for 9/23/2021. Christine Mendoza, et al., v. United Industries Corporation, Case No. 21PH-CV00670 Phelps County Circuit Court, Missouri For use by purchasers of Cutter and Repel brand candles (“Covered Candles”) and Black Flag, Do It Best, Eliminator, Green Thumb, Hot Shot, No Pest, Real-Kill, Rid-A-Bug, Spectracide, and TAT brand total release foggers (“Covered Foggers”) between May 4, 2015 and June 7, 2021. GENERAL INSTRUCTIONS Settlement Class Members who seek payment from the settlement must complete and return this Claim Form. Completed Claim Forms must be mailed to the Settlement Administrator at Digital Settlement Group, LLC, P.O. Box 232 Valparaiso, IN 46384 or can be submitted online below. Claim Forms submitted via mail must be POSTMARKED BY September 20, 2021, OR SUBMITTED ONLINE NO LATER THAN 11:59 pm, Central Time. Before you complete and submit this Claim Form by mail or online, you should read and be familiar with the Notice of Proposed Class Action Settlement (the “Notice”) available here. Defined terms (with initial capitals) used in these General Instructions have the same meaning as set forth in the Settlement Agreement. By submitting this Claim Form, you acknowledge that you have read and understand the Notice, and you agree to the Released Claims included as a material term of the Settlement Agreement. If you fail to submit a timely Claim Form, your Claim may be rejected, and you may be precluded from any recovery from the Settlement Fund. If you are a member of the Settlement Class and you do not timely and validly request to Opt-Out from the Settlement Class, you will be bound by any judgment entered by the Court approving the Settlement regardless of whether you submit a Claim Form. Claimant Information Indicates Required Field First Name Last Name Address Address 2 City State *Choose State Alabama Alaska Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code *Phone Email Re-Enter Email Address Payment Information Please select how you would like to receive your payment Submission to Jurisdiction of the Court By checking the box below to certify your claim, you are submitting to the jurisdiction of Phelps County, Missouri. This submission acts as your signature on the form. Submit