Zimmer Durom Cup Hip Implant Class Action Settlement

Claimants: Complete, print and submit via email, mail or fax to the Administrator both Schedule A and Schedule F below:

Schedule A – Claimant Declaration (Claim Form)

Schedule F – Physician Declaration Form

Claimants: May also complete, print and submit via email, mail or fax to the Administrator Schedule G below if they incurred out-of-pocket expenses in excess of $2,500:

Schedule G – Extraordinary Expense Form

Appeals

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