Caterpillar Engines Settlements

Pabla v. Caterpillar of Canada Corporation, et al.
Court File No. 14-60168CP

9157-4863 Quebec Inc. v. Caterpillar of Canada Corporation, et al.
Court File No. 500-06-000681-144

If you received a personalized notice in the mail or via email with a Claim Number and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Claim Number exactly as it appears on your personalized Notice, (i.e. 12345678).

OR

If you did not receive a personalized Notice in the mail or via email, click below to complete a Claim Form.

Please note that this claims portal is scheduled to close on Pacific Time.

CLAIM FORM

Please read the entire Claim Form carefully before you begin to fill it out. If you have any questions, please call the Settlement Administrator at 1-855-659-2900.

Definitions

A “Subject Engine” is a Caterpillar EPA 2007 Compliant C13 and C15 diesel engine with Advanced Combustion Emission Reduction Technology (“ACERT”) manufactured in 2005, 2006, 2007, 2008 or 2009, including the CRS components of the engines. Click here for complete descriptions and photographs of the Subject Engines, explanations on how to identify them and the types of vehicles that included them.

“Caterpillar Regeneration System” or “CRS” means the components of the Subject Engine which are more fully defined or described by the parts set forth in Attachment A of the Settlement Agreement (also available here).

“CRS Related Repair” means a repair or replacement of any Caterpillar Regeneration System related part or component as indicated by the 45 DT and F code combinations reflected in Attachment A of the Settlement Agreement. Repairs or replacements made due to a Caterpillar Service Letter performed pro-actively are not considered a CRS Related Repair.


SECTION A: Settlement Benefit Options

Note that all amounts are subject to a pro-rata increase or reduction based on the number of Approved Claims/Engines, per the terms of the Settlement Agreement.

Your claim will be based on the number of Subject Engines for which you provide information. If you were sent this Claim Form in the mail or by email, Subject Engine information may have been pre-populated on this Claim Form.

SECTION B: Claim Information

I. Provide Your Contact Information:
* Required Fields
II. ENGINE INFORMATION

Please fill out or confirm for each Subject Engine you are claiming. If you were sent this Claim Form in the mail or email, eligible Subject Engine warranty repair information may have been pre-populated below based on information known to the Settlement Administrator. If you wish to claim additional Subject Engines, you will need to provide the information requested below.

You MUST attach proof of the out-of-warranty CRS Related Repairs claimed for EACH Subject Engine you are claiming. Acceptable proof includes an invoice for the repair or similar documentation.

YOU MUST LABEL EACH PIECE OF SUPPORTING DOCUMENTATION WITH THE ASSOCIATED ENGINE SERIAL NUMBER. THE SERIAL NUMBER SHOULD BE WRITTEN CLEARLY, IN THE TOP LEFT-HAND CORNER OF EACH PAGE.

Engine 1 Information (Required)

Engine 2 Information

Engine 3 Information

Engine 4 Information

Engine 5 Information

Engine 6 Information

Engine 7 Information

Engine 8 Information

Engine 9 Information

Engine 10 Information

Engine 11 Information

Engine 12 Information

Engine 13 Information

Engine 14 Information

Engine 15 Information

+ Add Engine
III. Supporting Documentation

You MUST attach proof of the out-of-warranty CRS Related Repairs claimed for EACH Subject Engine you are claiming. Acceptable proof includes an invoice for the repair or similar documentation.

YOU MUST LABEL EACH PIECE OF SUPPORTING DOCUMENTATION WITH THE ASSOCIATED ENGINE SERIAL NUMBER. THE SERIAL NUMBER SHOULD BE WRITTEN CLEARLY, IN THE TOP LEFT-HAND CORNER OF EACH PAGE.

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected. Please confirm in the grid below that your file has been successfully uploaded.

File List: No Files Selected

    SECTION C: Certification and Signature

    By signing below, I declare or affirm, under penalty of law, that I have read this Claim Form, that I believe I am eligible for Class membership, and that all of the information on this Claim Form (or provided with this Claim Form) is true and correct to the best of my knowledge. I understand that, if the Claim Form is not signed, my claim will not be valid, and I will not be eligible to receive a settlement cash payment.

    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: info@EngineSettlement.ca.

    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
    M.I.
    Last Name
    Company Name
    Mailing Address, Line 1
    Mailing Address, Line 2
    City
    Province
    Postal Code
    Telephone Number (Primary)
    Telephone Number (Secondary)
    Email Address
    Signature
    Date

    If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at info@EngineSettlement.ca

    Click here to edit your Claim.