Simple Green Settlement Claim Form


O’Brien, et al. v. Sunshine Makers, Inc., Case No. CIV-SB-2027994
SUPERIOR COURT OF THE STATE OF CALIFORNIA
COUNTY OF SAN BERNARDINO

If you purchased one or more of the following products: (1) Simple Green All-Purpose Cleaner; (2) Simple Green All-Purpose Cleaner (Fresh); (3) Simple Green All-Purpose Cleaner (Lemon); (4) Simple Green All-Purpose Cleaner (Lavender); (5) Simple Green Oxy Solve Total Outdoor Cleaner; (6) Simple Green Oxy Solve House and Siding Cleaner; (7) Simple Green Oxy Solve Concrete and Driveway Cleaner; (8) Simple Green Oxy Solve Deck and Fence Cleaner; (9) Simple Green Wash & Wax; (10) Simple Green All-Purpose Wipes; (11) Simple Green All-Purpose Wipes (Lemon); (12) Simple Green Multi-Purpose Foaming Cleaner; (13) Simple Green Carpet Cleaner; (14) Simple Green Marine All-Purpose Boat Cleaner; (15) Simple Green Heavy Duty BBQ & Grill Cleaner; (16) Simple Green Heavy Duty BBQ & Grill Cleaner (Aerosol); (17) Simple Green Oxy Dog Stain & Odor Oxidizer; (18) Simple Green Bio Dog; (19) Simple Green Advanced Dog Bio Boost Stain & Odor Remover; (20) Simple Green Cat Pet Stain & Odor Remover; or (21) Simple Green Outdoor Odor Eliminator, in any size and packaging type (the “Class Products”), you may be eligible to participate in the benefits of the proposed settlement in O’Brien v. Sunshine Makers, Inc. To participate, you must fill this claim form out completely and either (i) mail it to the address given below, or (ii) submit it online through the Settlement website below. This Claim form must be postmarked or electronically filed no later than August 16, 2021. If you provide incomplete or inaccurate information, your claim may be denied.

  1. Please read the full notice of this settlement (available here) carefully before filling out this Claim Form.
  2. To be eligible to receive any benefits from the settlement obtained in this class action lawsuit, you must complete or submit your claim form online or by mail:
    ONLINE:
    Fill out and submit your claim below; or
    MAIL:
    Simple Green Non-Toxic Settlement Claims Administrator; Digital Settlement Group, LLC; PO Box 301; Valparaiso, IN 46384.
  3. Keep a copy of your completed Claim Form for your records. Any documents you submit with your Claim Form cannot be returned.
  4. If your claim is rejected for any reason, the Claims Administrator will notify you of the rejection and the reasons for such rejection.
Part A: Claimant Information

Indicates Required Field


Part B: Purchase Information

  1. To be eligible for a payment you must not have previously received a refund for your purchase of the Class Product.
  2. To qualify for a cash award, you must have purchased one or more Class Products.
    1. a. If you provide a copy of a receipt or receipts memorializing the purchase of the Class Products (“Proof of Purchase”), you will receive a refund of $3.00 for each Class Product purchased up to the total amount of units purchased that are submitted with Proof of Purchase.
    2. b. If you do not provide a valid receipt memorializing the purchase of the Class Products, but complete this Claim Form under penalty of perjury, you will receive a refund of $3.00 per Class Product purchased, up to ten (10) Class Products purchased, for a total refund of up to $30.00.
    3. c. If there is still money left over in the Claim Fund, your refund will be increased on a pro rata basis with the refunds of other Settlement Class Members until the Claim Fund is spent. If there is not enough money in the Claim Fund to pay the amounts listed above to all Settlement Class Members, your refund will be decreased on a pro rata basis with the refunds of other Settlement Class Members.
  3. Please fill out the chart below identifying the purchase transaction(s) for which you are making a claim:
TOTAL NUMBER OF CLASS PRODUCTS

Select the total number of Class Products you purchased in the United States between May 12, 2016 and May 17, 2021 in the chart below:

Part C: Payment Information

Please select how you would like to receive your payment