Washington AG CRT Settlement

INSTRUCTIONS




Complete this Claim Form to be eligible to receive payment from settlements totaling over $39 million. Washington consumers (individuals and businesses) that purchased televisions or computer monitors containing a Cathode Ray Tube (“CRT”) from a retailer between March 1, 1995 and November 25, 2007 are eligible to receive a payment from the settlement funds.

A CRT is a vacuum tube that was used to display images in televisions and computer monitors. Before LCD, Plasma, and LED display technologies became popular, CRTs were the main technology used in these devices.

You must answer the Eligibility Questions below, by checking the boxes, to determine if you may submit a claim. The amount you could expect to receive will vary depending on the product(s) purchased, up to a maximum of $20 per CRT computer monitor and $6 per CRT television. However, your recovery could be a smaller amount than the maximum because there is a limited amount of money in the Settlement Fund. The amount paid per product and the number of claims allowed per consumer will depend on the number of claims submitted.

Claims must be filed by the claimant, and not by a third-party, with payments to go directly to the claimant.