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To fill out the claim form, first download it to your device. Next, enter your personal information and household details as requested. Finally, review your information for accuracy before submitting the form.

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How to fill out the Chicken and Tuna Price Fixing Settlement Claim?

  1. 1

    Download the claim form to your device.

  2. 2

    Complete the form with accurate personal information.

  3. 3

    Specify your household size and income.

  4. 4

    Review the completed form for correctness.

  5. 5

    Submit the form by the deadline.

Who needs the Chicken and Tuna Price Fixing Settlement Claim?

  1. 1

    Consumers who bought chicken or canned tuna and overpaid due to price fixing.

  2. 2

    Individuals residing in Washington State with income under 175% of the federal poverty level.

  3. 3

    Families that have not received a refund check and believe they qualify.

  4. 4

    Single-member households eligible for a $50 refund.

  5. 5

    Multi-member families eligible for a $120 refund.

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With PrintFriendly's PDF editor, you can easily customize your claim form. Our intuitive editing tools allow you to enter your information seamlessly. Make any necessary changes before downloading your personalized PDF.

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    Open the PDF document in PrintFriendly's editor.

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What are the instructions for submitting this form?

To submit your claim form, complete it and mail it to: Chicken and Tuna Price Fixing Settlement, ATTN: CLAIM, P.O. Box 91485, Seattle, WA 98111. Ensure that your claim is postmarked on or before June 5, 2024. For any questions, email refundcheck@atg.wa.gov or call 866-601-1516 for assistance. We recommend that you keep a copy of your completed form for your records.

What are the important dates for this form in 2024 and 2025?

Important dates include the mailing of refund checks starting December 5, 2023, and the claim submission deadline of June 5, 2024.

importantDates

What is the purpose of this form?

The purpose of this form is to facilitate the refund process for consumers affected by price fixing in the chicken and tuna markets. It ensures that individuals who have overpaid can claim their rightful compensation. This is part of the resolution of lawsuits aimed at protecting consumer rights in Washington State.

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Tell me about this form and its components and fields line-by-line.

The form includes various fields necessary for processing claims, including personal identification and household income details.
fields
  • 1. First Name: Your first name as it appears on your ID.
  • 2. Last Name: Your last name as it appears on your ID.
  • 3. Address 1: Street address for correspondence.
  • 4. Address 2: Optional apartment or unit number.
  • 5. City: City of your residence.
  • 6. State: Your state of residence.
  • 7. ZIP Code: Postal code for your address.
  • 8. Email Address: Your email address for communication.
  • 9. Certification & Signature: Your statement declaring the accuracy of the information provided.

What happens if I fail to submit this form?

If you fail to submit this form, you will miss out on potential refunds for overpayment. It is crucial to meet the submission deadline to ensure your claim is processed.

  • Missing Refund: Not submitting the form means you will not receive the refund you are entitled to.
  • Delayed Processing: Claims submitted late or incorrectly can cause delays in refunds.
  • Rejection of Claim: Failure to meet eligibility criteria or submission requirements will lead to claim rejection.

How do I know when to use this form?

You should use this form if you believe you are eligible for a refund due to overpayment for chicken or tuna products. It is specifically designed for residents of Washington State who meet certain income guidelines.
fields
  • 1. Claim Refund: Use this form to claim your refund based on the stipulated eligibility.
  • 2. Check Eligibility: Residents can evaluate their eligibility using this form.
  • 3. Submit Income Information: Provide necessary income details as required for claim verification.

Frequently Asked Questions

How do I know if I'm eligible for a refund?

You must be a resident of Washington State and your household income must not exceed 175% of the federal poverty level.

What is the deadline for submitting claims?

Claims must be postmarked by June 5, 2024.

How much will I receive if I'm eligible?

Single-member households will receive $50, while households with two or more members will receive $120.

Where do I send my completed claim form?

Mail your completed form to: Chicken and Tuna Price Fixing Settlement, ATTN: CLAIM, P.O. Box 91485, Seattle, WA 98111.

Can I fill out the form online?

Yes, an electronic version of the claim form is available at www.RefundCheck.atg.wa.gov.

Who should I contact for questions about my claim?

Call 866-601-1516 or email refundcheck@atg.wa.gov for support.

What happens after I submit my claim?

Your claims will be processed, and if eligible, a refund check will be mailed to you.

How will I know when my claim is processed?

You may contact the support number for updates or wait for your check in the mail.

What if I made a mistake on my form?

You can fill out a new form and submit it by the deadline.

Is there a limit to how many claims are processed?

As long as you meet the requirements, you may apply for a refund.

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