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Claim Form

Except for qualified emergency situations, claims will be processed after the final Fairness Hearing, if the settlement is approved. You may request a Claim Form prior to that time, and completed Claim Forms my be submitted to the Independent Administrator. Each Claim Form must be submitted by a specific deadline depending on the installation date and other circumstances. Please read: When must claims be filed? for a detailed explanation.

Please select the appropriate type of Claim Form to request from the options below. You may also view a sample of each Claim Form type. Please Note: a sample Claim Form cannot be used to submit a claim.

Single-Family Residence Claim Form

Request and submit a Single-Family Residence Claim Form (sample) if you are claiming current Damage to HO-25 or HZ-25 Roof Shingles on a single-family residence or a manufactured (mobile) home. Detached garages are considered part of a single-family residence.

Multi-Unit or Commercial Property Claim Form

Request and submit a Multi-Unit or Commercial Property Claim Form (sample) if you are claiming current Damage to HO-25 or HZ-25 Roof Shingles on multiple Structures on one Property, any multi-unit Structure, or any commercial property (e.g. apartments, duplexes, condominiums, or any other commercial property).

Unreimbursed Replacement Claim Form

Request and submit a Unreimbursed Replacement Claim Form if you have removed and replaced all PABCO HO-25 or HZ-25 Roof Shingles on your Structure prior to the Preliminary Approval Date, without knowledge of this Settlement and after PABCO has received written notification, from you or Class Counsel, of your intention to replace your roof, or PABCO otherwise has a written record of such notice.
[The deadline for submitting Unreimbursed Replacement Claims has passed]

Application Form for Supplement to Consent Decree Warranty Claim Compensation

Request and submit an Application Form for Supplement to Consent Decree Warranty Claim Compensation if you are claiming additional compensation for a previously resolved claim involving HO-25 or HZ-25 Roof Shingles. To be eligible, you must have signed a release and cashed a check containing compensation from PABCO for a claim paid by PABCO after November 14, 2003, where the amount paid was based on compensation in the amount of $30.25 per square. Class Members eligible for this compensation shall not otherwise be eligible to file a Claim, nor shall successors to such Class Members.
[The deadline for submitting an Application Form for Supplement to Warranty Decree Claim Compensation has passed]




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