Online Claim Form

Submit a claim for the Bustos, et. al v. Riverside Medical Clinic No. CVR12203466

This website is authorized by the Court, supervised by counsel for the Parties and controlled by Kroll Settlement Administration LLC the Settlement Administrator approved by the Court. This is the only authorized website for this case.
(833) 462-9176
Settlement Administrator – 83037
c/o Kroll Settlement Administration LLC
PO Box 5324
New York, NY 10150-5324


Please read for a full explanation of the settlement and your options and all applicable timelines.


Contact us with any inquiries, comments, and/or requests.

Submit Claim

Click here to safely and securely submit a Claim Form.

Important Dates

  • Exclusion Deadline.

    Monday, July 29, 2024 You must complete and mail your request for exclusion form so that it is postmarked no later than July 29, 2024.
  • Objection Deadline.

    Monday, July 29, 2024 You must mail your objection(s) and/or notice of intent to appear at the Final Approval Hearing so that it/they are postmarked no later than July 29,2024.
  • Claim Form Deadline.

    Monday, August 26, 2024

    You must submit your Claim Form on-line no later than Monday, August 26, 2024, or mail your completed paper Claim Form so that it is postmarked no later than August 26, 2024.

  • Final Approval Hearing Date.

    Friday, August 23, 2024 The Final Approval Hearing is scheduled for August 23, 2024. Please check this website for updates.

Important Documents

Having Trouble?

Having trouble opening .pdf files? You can download Acrobat Reader  for free from

Copyright © 2024 Kroll Settlement Administration LLC - All Rights Reserved. This site is designed and developed by Kroll Settlement Administration LLC - Privacy Policy