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Apply for a Personal Injury and Mass Tort Claim Disbursement

Claim Application for Mass Tort Benefits (Standard Form 95 – SF-95)

If you've experienced personal injury affecting your physical or mental health, you may qualify for compensation through a Mass Tort claim.

Personal injury claims may include, but are not limited to:

  • •Faulty or defective product use or circulation
  • •Physical, emotional, or mental abuse
  • •Exposure to unsafe or harmful environments
  • •Financial or monetary damages resulting directly or indirectly from product use or unsafe conditions
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Have You Applied for Mass Tort Claims Before?

If you've already submitted an application, please Sign in to check your claim status.

What to Know Before You Fill Out This Form

1

Check Your Eligibility

Before you begin, confirm that you meet our eligibility requirements for claim enrollment and disbursement.

Note: We can help you connect with your bank — regardless of your banking history or institution type.

2

Gather Your Information

Before starting your application, please have the following information ready:

  • •Law firm(s) representing your claim (include details if your case has been transferred between law firms)
  • •Social Security Numbers for yourself and any dependents or blood relatives eligible to receive claim benefits
  • •Valid bank account and routing number
  • •Card information (only required if bank authentication fails more than twice)
3

Start Your Application

We'll guide you through each step of the process — it typically takes about 45 minutes to complete.

Sign in or create an account

Note: We have removed an option for disbursement process through check due to unwarranted delays and rise of identity theft cases revolving to the mass tort claims. The disbursement will be followed strictly through EFT's (Electronic fund transfers) into an eligible bank accounts.

Need help?

Technical Support

If you have trouble using this online application, call our support line:

800-LAW-CLAIM (357-6021)

(TTY: 711) We are here Monday through Friday, 8:00 a.m. to 8:00 p.m. ET.

Questions about the Lawsuit

For questions specific to your settlement or case details, contact your accredited legal representative.

Get help from a Legal Representative →