Hyundai Theta Claim

Hyundai Claim Form

In re: Hyundai and Kia Engine Litigation,No. 8:17-cv-00838 (C.D. Cal.)
Flaherty v. Hyundai Motor Company, et al.,No. 18-cv-02223 (C.D. Cal.)

Please provide the information requested below

First Name

Last Name

Address

Apt / Suite

City

State

Zip Code

EmailYour claim may take longer to process if you choose not to enter an email address.

Phone

VINPlease provide your Vehicle Identification Number (“VIN”).The VIN is located on a small placard on the top of the dashboard and is visible through the driver’s side corner of the windshield. It also appears on your vehicle registration card and probably appears on your vehicle insurance card. Your VIN should have 17 characters, a combination of both letters and numbers.

Reimbursement TypeIndicate the reimbursement you are claiming, the amount of the reimbursement you are requesting, and enclose the required documents. Note: If more than one type of reimbursement applies to you, you may submit another form after this one.

I AM REQUESTING REIMBURSEMENT FOR RENTAL CAR/TOWING/OTHER COSTS INCURRED FOR ENGINE STALLING, KNOCKING, ENGINE FAILURE, ENGINE FIRE, ILLUMINATION OF THE OIL LAMP OR OTHER ENGINE SHORT BLOCK ASSEMBLY REPAIR.

I AM REQUESTING COMPENSATION FOR INCONVENIENCE DUE TO REPAIR DELAYS EXCEEDING 60 DAYS.

I AM REQUESTING REIMBURSEMENT FOR A CLASS VEHICLE THAT EXPERIENCED AN ENGINE FIRE.

I LOST FAITH IN MY VEHICLE UPON RECEIPT OF THE SETTLEMENT NOTICE, SOLD MY VEHICLE, AND PURCHASED A REPLACEMENT HYUNDAI VEHICLE.