Reimbursement Program Claim Form

Use this Reimbursement Claim Form if:
(1) you are a Class Member;
(2) you believe your Dive Computer had a depth pressure sensor failure;
(3) you discarded your Dive Computer due to a depth pressure sensor failure and you no longer have the Dive Computer; and
(4) you did not receive a free repair or replacement of your Dive Computer, or you purchased a replacement Dive Computer as part of a warranty program at a cost to you.

You may also use this Reimbursement Claim Form if you paid out-of-pocket costs in an attempt to repair your Dive Computer due to a depth pressure sensor failure.

Before filing a claim, you must click on the "Important Reimbursement Information" button bellow to access the Reimbursement document and read the  document so you can properly and successfully make a claim.

The document also contains all the product model numbers that qualify for this settlement. It also contains important payout information.

Important Reimbursement Information



 
Reimbursement Program Claim Form
First Name:
Last Name:
Email:
Confirm Email:
Address:
City:
Province:
Country:
Postal Code:
Telephone:
Model of Dive Computer that had depth pressure sensor failure (seperate by comma if more than one):
City and Country of Purchase:
Place of Purchase (e.g. store name):
Date of Purchase (provide as much information as possible):
Proof of Purchase:
You must reply to your confirmation email, which you will receive after this submission, with attachments containing proof of purchase documents (e.g. purchase receipt, shipping receipt, credit card statement, product box, or other information indicating the purchase)
Description of the depth pressure sensor failure in your Dive Computer (describe what happened to your Dive Computer) :
Choose which of the following is applicable to you:

Section A
(1) you are a Class Member; (2) you believe your Dive Computer had a depth pressure sensor failure; (3) you discarded your Dive Computer due to a depth pressure sensor failure and you no longer have the Dive Computer; and (4) you did not receive a free repair or replacement of your Dive Computer.

Section B
(1) you are a Class Member; (2) you believe your Dive Computer had a depth pressure sensor failure; (3) you discarded your Dive Computer due to a depth pressure sensor failure and you no longer have the Dive Computer; and (4) you did not receive a free repair or replacement of your Dive Computer.
Where did you purchase the replacement Dive Computer (e.g. Suunto, or store name) and how much did you pay?:

Section C
(1) you are a Class Member; (2) your Dive Computer experienced a depth pressure sensor failure; and (3) you paid for repairs in an attempt to fix your Dive Computer.
Proof of cost of repairs (e.g. purchase receipt, shipping receipt, credit card statement, etc.):
You must reply to your confirmation email, which you will receive after this submission, with attachments containing proof of cost of repairs (e.g. purchase receipt, shipping receipt, credit card statement, etc.)
Amount you paid for repairs:

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Reimbursement Claim Forms will be processed and approved in accordance with the terms of the Settlement Agreement. Please check the settlement website, http://www.suuntodivecomputersettlement.ca, for updates. In the event of any conflict between the terms of this Reimbursement Claim Form and the terms of the Settlement Agreement, the terms of the Settlement Agreement shall control.
The amount of reimbursement shall be limited or pro rated according to the terms of the Settlement Agreement. Please refer to the Settlement Website for more information.

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