class-claim-form

name	class-claim-form
title	Class Member Claim Form
description	Drafts U.S. class action settlement claim forms compliant with FRCP 23 and court approval orders. Triggers on claim form drafting, settlement administrator packets, online claim workflows, or class member submission forms.
author	CaseMark
author_url	https://github.com/CaseMark/skills/tree/main/skills/legal/class-claim-form
license	Apache-2.0
version	0.1.0
execution_mode	open
jurisdiction	us
practice	litigation
language	en
tags	["drafting","pleading"]

Class Member Claim Form

Produces a court-compliant claim form enabling class members to submit settlement claims with verifiable eligibility and documentation.

Prerequisites

Gather before drafting:

1. Preliminary or final approval order and settlement agreement
2. Case caption, court, judge, case number
3. Class definition and class period dates
4. Claim categories, eligibility criteria, payment formula/tiers
5. Submission deadline (date, time, time zone, postmark vs. receipt rule)
6. Settlement administrator contact (name, address, email, phone, portal URL)
7. Documentation requirements and no-doc thresholds
8. Privacy/data-retention policy; e-sign and accessibility requirements

Workflow

1. Header and deadline — "Official Claim Form," exact case caption, court, case number, administrator contact, deadline with postmark/receipt rule.
2. Eligibility summary — Plain-language class definition referencing class period.
3. Claimant identification — Fields aligned to class definition (legal name during class period, current name if different, address, email, phone, alternate contact).
4. Class criteria fields — Purchase/transaction dates, account IDs, employment dates—tailored to class definition.
5. Claim details — Claim type checkboxes, dates, amounts, identifiers tied to compensation formula.
6. Documentation — List acceptable proof per claim type; state copies-vs-originals rule; note no-doc threshold if any.
7. Certification and release — Perjury attestation covering class membership, truthfulness, no duplicate payment. Separate release acknowledgment checkbox. Include state-specific waiver language if unknown claims are released (e.g., Cal. Civ. Code § 1542 — verify applicability).
8. Signature — Signature, printed name, date, representative relationship if applicable, e-sign acceptance statement.
9. Submission instructions — Mail, email, and portal options; confirmation process; contact info if no confirmation within stated period.
10. Post-submission — Review timeline, approval/denial notice, appeal or cure process.

Required Notices

Every form must include:

• Submission does not guarantee payment
• Settlement subject to court approval/finality
• Attorneys' fees and costs may be deducted
• False statements may lead to denial and penalties
• Privacy and data-use disclosure