To file your POM form, select the class that best describes your claim. Complete all sections of the form including signature and return to the Settlement Facility.
Class 5
Applies to claimants who are a United States citizen or a resident alien of the greater U.S. or whose claim arises from a medical procedure performed in the greater U.S.
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Class 6.1
Applies to claimants who are not a United States citizen or a resident alien of the greater U.S. and whose claim arises from a medical procedure performed outside the greater U.S. Foreign claimants are categorized based on their country of residence. For more information on foreign claimant class assignment, refer to Annex A To The Settlement Facility and Fund Distribution Agreement (Annex A), Section 6.05, (h) (i)
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Class 6.2
Applies to claimants who are not a United States citizen or a resident alien of the greater U.S. and whose claim arises from a medical procedure performed outside the greater U.S. Foreign claimants are categorized based on their country of residence. For more information on foreign claimant class assignment, refer to Annex A To The Settlement Facility and Fund Distribution Agreement (Annex A), Section 6.05, (h) (i)
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