Online Claim Form

In order for you to receive a cash payment from the Settlement in the class action lawsuit concerning Windex “Non-Toxic” Products, named Clark v. S.C. Johnson & Son, Inc., you must complete and submit a Claim Form, as described below.

1. You must accurately complete all required portions of this Claim Form. Please complete only one Claim Form if you are submitting a claim, regardless of the number of qualifying Windex “Non-Toxic” products purchased.


2. You must sign this Claim Form.

In order for you to receive a cash payment, you must submit a completed Claim Form online or by sending a paper Claim From via First Class U.S. Mail to:


Clark v. SC Johnson & Son Inc.

PO Box 131

Warminster, PA 18974-0131



3. Your failure to complete and submit the Claim Form by October 29, 2021 will preclude you from receiving any payment in this Settlement.

Section I: CLAIMANT INFORMATION

Section II: PURCHASE INFORMATION

• To qualify for a cash payment, you must have purchased one or more of the Windex products with a “non-toxic formula” label between January 1, 2019 and July 9, 2021, including: Windex Original, Windex Vinegar, Windex Ammonia-Free, and Windex Multi-Surface.


• You may make a claim for one of the following:
  
  • a. For Settlement Class Members without proof of purchase, but who complete this Claim Form under penalty of perjury, the Settlement Fund will issue a monetary refund up to a maximum of $10.00 ($1.00 per product purchased for up to ten (10) products purchased.)
  
  
  • b. For Settlement Class Members who provide Proof of Purchase, the Settlement Fund will issue a $1.00 cash payment for each purchase of a qualifying product without limitation. “Proof of Purchase” means a receipt or other documentation reasonably establishing purchase of the Product(s) during the Class Period in the United States. Proof of Purchase may be in the form of any reasonably reliable proof, such as an itemized store receipt or loyalty/membership card print-outs, non-identical original UPC codes or pictures of non-identical UPC codes for each purchased Product.
  
  
• The Settlement Administrator may adjust the cash payment amount on a pro rata basis if the total amount of claims exceeds the available Settlement Funds.

Section III: ACKNOWLEDGEMENT

*  I declare, under penalty of perjury, that the information in this Claim Form is true and correct to the best of my knowledge, and that I purchased the Product(s) claimed above in the United States during the Class Period for personal or household use and not for resale. I understand that my Claim Form may be subject to audit, verification, and/or Court review.