SF-DCT Claim Forms & Instructions
THE DEADLINE HAS PASSED YOU CAN NO LONGER FILE A CLAIM THESE FORMS ARE LISTED HERE FOR HISTORICAL PURPOSES ONLY
CLASS 5 (English)
- Class 5 Proof of Manufacturer Claim Form & Instructions
- Class 5 Explant Claim Form & Instructions
- Class 5 Rupture Claim Form & Instructions
- Class 5 Expedited Release OR Disease Payment Claim Form & Instructions
CLASS 6.1
- Class 6.1 Proof of Manufacturer Claim Form & Instructions - English
- Dutch
- French
- German
- Swedish
- Class 6.1 Explant Claim Form & Instructions
- Class 6.1 Rupture Claim Form & Instructions
- Class 6.1 Expedited Release OR Disease Payment Claim Form & Instructions - English
- Dutch
- French
- German
- Swedish
CLASS 6.2 – Option 1-2-3-4
- Summary of Class 6.2 Settlement Options
- Class 6.2 Option 1 Proof of Manufacturer Claim Form & Instructions - English
- Portuguese
- Spanish
- Class 6.2 Option 3 Proof of Manufacturer Form & Instructions - English
- Portuguese
- Spanish
- Class 6.2 Option 1 Explant Claim Form & Instructions
- Class 6.2 Option 1 Rupture Claim Form & Instructions
- Class 6.2 Option 1 Expedited Release OR Disease Payment Claim Form & Instructions - English
- Portuguese
- Spanish
- Class 6.2 Option 2 Expedited Release Claim Form & Instructions
- Portuguese
- Spanish
- Class 6.2 Option 4 Expedited Release OR Limited Disease Payment Claim Form & Instructions
- Portuguese
- Spanish
CLASS 7
- Class 7 Claim Form & Instructions
CLASS 9
- Class 9 Proof of Manufacturer Claim Form & Instructions
- Class 9 Rupture Claim Form & Instructions
- Class 9 Expedited Release Claim Form & Instructions
- Class 9 Implant Failure Claim Form & Instructions
- Class 9 Inflammatory Foreign Body Response Claim Form & Instructions
- Class 9 TMJ Enhanced Claim Form & Instructions
CLASS 10.1
- Class 10.1 Proof of Manufacturer Claim Form & Instructions
- Class 10.1 Rupture Claim Form & Instructions
- Class 10.1 Expedited Release Claim Form & Instructions
- Class 10.1 Implant Failure Claim Form & Instructions
- Class 10.1 Inflammatory Foreign Body Response Claim Form & Instructions
- Class 10.1 TMJ Enhanced Claim Form & Instructions
CLASS 10.2
- Class 10.2 Proof of Manufacturer Claim Form & Instructions
- Class 10.2 Rupture Claim Form & Instructions
- Class 10.2 Expedited Release Claim Form & Instructions
- Class 10.2 Implant Failure Claim Form & Instructions
- Class 10.2 Inflammatory Foreign Body Response Claim Form & Instructions
- Class 10.2 TMJ Enhanced Claim Form & Instructions
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