Submit a Claim Form - Instructions



File Online:

Before Claim Filing: You will need the Unique ID printed on the Notice that you received in the mail or by email.

After Claim Filing: After submitting your completed Claim online, you will receive an email with a confirmation code for your completed submission. Be sure to keep your confirmation email and code and refer back to them if you have any questions about your Claim Form.

Please use the login below to get started.


Submit a Claim Form - Login
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How to File by Mail:

Fill out, sign, and date the Claim Form, then mail the Claim Form to the following address:

UPHS Pixel Settlement
P.O. Box 4536
Portland, OR 97208-4536

Remember, all Claim Forms must be submitted online or received by the Settlement Administrator no later than September 16, 2026.