File A Claim

Liptai Class Action Settlement Claim Form

Steven Liptai v. Spectrum Brands Holdings, Inc., et al. – Case No. 2018CV000321

To request a partial refund of up to $4 under the proposed class settlement, you must complete, sign, and submit this Claim Form below or by mail by no later than February 28, 2019.

Part A: Claimant Information

Indicates Required Field

**All claim forms mailed in without a valid and/or legible email address will be considered invalid.


To request a partial refund of up to $4 (one per household/physical address), please state the brand, model number, and approximate purchase date, to the extent known, of the Black & Decker and Farberware brand small kitchen appliances that you purchased between February 5, 2014 and October 19, 2018, and then sign this Claim Form under penalty of perjury. Please note that, depending on the number of approved claims, the benefit may be less than $4.


Please select how you would like to receive your payment

If you want to get your payment as fast as possible, please select 1 of the first 4 payment options. If you choose the “Other” option, we will contact you in approximately 6 months about alternatives if the settlement and your claim are approved.

REVIEW AND DETERMINATION OF CLAIMS: The Settlement Administrator will review all Claim Forms that are postmarked by or submitted online on or before February 28, 2019. Claim Forms that are not timely submitted will be rejected. Invalid claim forms and illegible claim forms may be rejected. The Settlement Administrator is entitled to confirm information supplied in Claim Forms to determine eligibility.

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