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).

If you did not receive a personalized Notice in the mail or via email, click below to complete a Claim Form.

The deadline for submitting this proof of claim form is

To make a claim under the Settlement, you must complete the claim form and mail it to the address below or submit a claim on this website.

Your claim form must be submitted electronically or postmarked by November 7, 2022. The information will not be disclosed to anyone other than the Court, the Claim Administrator, and the Parties in this case, and will be used only for purposes of administering this Settlement (such as to audit and review a claim for completeness, truth, and accuracy).

You can submit a claim for a cash payment under this Settlement if you are a natural person (not a business or entity) and, before August 2, 2022 you purchased, in the United States, any Covered Product(s) for personal, family or household use. The Covered Products are the following Coppertone spray sunscreen products:

  • Pure & Simple SPF 50;
  • Pure & Simple Kids SPF 50;
  • Pure & Simple Baby SPF 50;
  • Sport Mineral SPF 50;
  • Sport SPF 50;
  • Sport SPF 30;
  • Sport SPF 15;
  • Complete SPF 50;
  • Complete SPF 30;
  • Glow Shimmer SPF 50;
  • Glow Shimmer SPF 30;
  • Kids SPF 50.

Class Members who received a refund through Defendants’ voluntary recall of the Covered Products should also submit a claim form as they may be entitled to additional recovery from the settlement. For those class members who received a refund through Defendants’ voluntary recall of the Covered Products, the amount of money they receive in the Settlement will be reduced by the amount refunded through the voluntary recall.

In order to determine purchase price, you may upload Proof of Purchase. If you do not provide Proof of Purchase, the purchase price of the Covered Product(s) will be determined by the average retail price for up to six (6) Covered Products claimed per household plus a 10% allowance for sales tax.

“Proof of Purchase” means an itemized retail sales receipt or retail store club or loyalty card record showing, at a minimum, the purchase of a Covered Product, the purchase price, and the date and place of the purchase.

Payments will be issued only if the Court approves the Settlement and the Effective Date of the Settlement occurs.

Please save a copy of this completed form and your Proof of Purchase (if applicable) for your records. For further information, visit the Frequently Asked Questions page.

YOUR CONTACT INFORMATION

Provide your name and contact information below. You must notify the Claim Administrator if your contact information changes after you submit this form.

* Required Fields

PURCHASES OF COVERED PRODUCTS
I made the following purchases of Covered Products (see General Instructions above) in the United States before August 2, 2022. These purchases were not for purpose of resale.
Approximate Date of Purchase Number Purchased
PAYMENT SELECTION

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SUPPORTING DOCUMENTATION

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    VERIFICATION AND ATTESTATION UNDER OATH

    I certify under penalty of perjury under the laws of the United States that all of the foregoing is true and correct.

    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@2022coppertonesettlement.com

    Click here to edit your Claim.

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