Your Claim Form has been submitted successfully.
HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to: Claims@FreezerSettlement.com.
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 | |
First Name (Updated) | |
Last Name | |
Last Name (Updated) | |
Street 1 | |
Street 2 | |
City | |
State | |
Province | |
Zip Code | |
Postal Code | |
Country | |
Phone Number | |
Email Address | |
Model Number of Class Refrigerator | |
Model Number of Class Refrigerator (Updated) | |
Model Number of Class Refrigerator (Other) | |
Serial Number of Class Refrigerator | |
Serial Number of Class Refrigerator (Updated) | |
Claim ID | |
Date of Purchase of Class Refrigerator | |
Are you a resident of the United States or its territories? | |
Was your refrigerator for personal or household use? | |
Have you previously received compensation from Whirlpool? | |
Compensation benefit amount already received from Whirlpool | |
Do you have documentation showing you experienced a problem? | |
I declare under penalty of perjury that within five years of purchase I experienced an obstruction | |
Do you have documentation showing that you paid for repairs? | |
Do you have documentation showing the purchase date of your refrigerator? | |
I declare under penalty of perjury that I have searched but am unable to find documentary proof of purchase date of refrigerator | |
Signature | |
Signature Date |
If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at Claims@FreezerSettlement.com
Click here to edit your Claim.