If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Notice ID exactly as it appears on your personalized Notice, (i.e. 12345678).

The deadline for submitting this proof of claim form online is

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

CLASS MEMBER INFORMATION

* Required Fields

To receive any compensation to which you may be entitled, you must complete a claim form online or postmarked by April 24,2023. If you received a notice in the mail or via email, use your Claim ID Number listed on the front of the mailed notice or at the top of the email notice to file your claim online. Upon receipt of your claim, the Settlement Administrator will review applicable records and determine the amount of Settlement benefits for which you may be entitled. The Settlement provides for up to $337.50 for each instance in which KHC failed to timely file a notice of mortgage payment change and up to $25.00 for every instance in which KHC filed a proof of claim or a notice for the collection of post-petition attorneys’ fees. Payment amounts from the Fund may be less if there are insufficient funds to pay all claims up to the maximum amounts.

HOW WOULD YOU LIKE TO RECEIVE YOUR PAYMENT?

Check a box below to indicate your preferred payment method. Please provide the email or phone number associated with your account if you want to receive your payment via PayPal or Venmo. Checks must be cashed within 90 days.

(Print all names used by Claimant from 1/1/2012 to present)

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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    SIGNATURE

    By signing below, I affirm under the laws of the United States that to the best of my recollection, knowledge, information, and belief, I am a member of the class as described in this notice, and I authorize the Settlement Administrator to review all relevant information to determine the value of any Settlement benefits to which I am entitled.

    If your mailing address changes prior to receiving your Settlement payment, you may log back into your Claim and submit an updated address.

    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
    Zip Code
    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@KHCSettlement.com

    Click here to edit your Claim.

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