If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Notice ID exactly as it appears on your personalized Notice (i.e. 12345678).

If you did not receive a personalized Notice in the mail or via email, click below to complete a Claim Form.

The deadline for submitting this claim form is January 7, 2024.

Please add the email, Confirmation@ArtsanaBoosterSeatSettlement.com, to your contact list to ensure that future correspondence is delivered to your inbox.

For you to qualify to receive a payment related to Jimenez v. Artsana USA, Inc., as described in the Notice of this Settlement (the “Notice”), you must file a Claim Form, as described below.

Please review the Notice and have the Notice with you when you complete your Claim Form. A copy of the Notice is available at www.ArtsanaBoosterSeatSettlement.com.

Your claim will only be considered if you comply with all of the following conditions:

  1. You must file a Claim Form. You may submit your Claim Form online at www.ArtsanaBoosterSeatSettlement.com or by U.S. Mail to the following address:

    Chicco Booster Seat Settlement
    c/o Settlement Administrator
    1650 Arch Street, Suite 2210
    Philadelphia, PA 19103.

  2. You must accurately complete all required portions of this Claim Form (Sections I, II, and III). Please type or write your responses legibly.
  3. You must sign this Claim Form, which includes the Certification. By signing and submitting the Claim Form, you are certifying under penalty of perjury that you purchased a Chicco “KidFit” branded booster seat made by Artsana, including the KidFit, KidFit Zip, KidFit Zip Air, KidFit Luxe, KidFit Plus, and KidFit Air Plus models (an “Eligible Product”), from April 22, 2015 through December 31, 2021.
  4. If you are mailing your Claim Form, please make sure to include the completed and signed Claim Form and all supporting materials in one envelope to the address above. If you submit your Claim Form online, you can upload your supporting documentation online.
  5. If you submit Proof of Purchase with your Claim Form, you may be eligible to receive a cash payment of fifty dollars ($50.00) per Eligible Product. If you submit a completed Claim Form without Proof of Purchase, you may be eligible to receive a cash payment of twenty-five dollars ($25.00) per Eligible Product.
  6. Please keep a copy of your Claim Form and any supporting materials you submit. Do not submit your only copy of the supporting documents. Materials submitted will not be returned. Copies of documentation submitted in support of your claim should be clear and legible. If you submit by mail, it is recommended (but not required) that you use certified mail, return receipt requested, so that you have a record of the date of mailing.
  7. If your Claim Form is incomplete or missing information, the Settlement Administrator may contact you for additional information. If you do not respond or do not provide the additional information requested, the Settlement Administrator will be unable to process your claim, and your claim will be rejected.
  8. If you have any questions, please contact the Settlement Administrator by email at Info@ArtsanaBoosterSeatSettlement.com by phone at (844) 491-1414, or by mail at the address listed above.
  9. You must notify the Settlement Administrator if your address changes. If you do not, you may not receive your payment.
  10. DEADLINE – Your claim must be submitted online by 60 days after Final Approval, which could be as early as December 11, 2023, while Claim Forms mailed to the Settlement Administrator must be received no later than 60 days after Final Approval, which could be as early as December 11, 2023.

Submission of this Claim Form does not guarantee that you will share in the payments related to Jimenez v. Artsana USA, Inc. If the Settlement Administrator denies your Claim, you have the right to present information in a dispute resolution process. For more information about this process, see Paragraph 87 of the Settlement Agreement, which is available for review at www.ArtsanaBoosterSeatSettlement.com.

VERIFICATION AND ATTESTATION UNDER PENALTY OF PERJURY

I declare or affirm, 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 from April 22, 2015 through December 31, 2021. I understand that my claim form may be subject to audit, verification, or Court review.

I. CONTACT INFORMATION AND MAILING ADDRESS

Provide your name and current contact information below. You must notify the Settlement Administrator if your contact information changes after you submit this form.

* Required Fields

Note if your name and mailing address at the time of purchase is different from your current name and address, please provide your previous name and mailing address at the time of purchase:

Below is the purchase information on file for your Eligible Product(s). If you wish to submit a claim for additional Eligible Products, click Add Products. If all of your Eligible Products are included below, click Complete Claim.

II. Purchase Information
  • To qualify for a cash award, you must have purchased one or more of the Chicco “KidFit” branded booster seats between April 22, 2015 and December 31, 2021, including the: KidFit, KidFit Zip, KidFit Zip Air, KidFit Luxe, KidFit Plus, and KidFit Air Plus models (the “Eligible Product”).
  • You may make a claim based on the following options:
    1. With Proof of Purchase. For claimants who either (1) purchased an Eligible Product directly from www.chiccousa.com, (2) registered the Eligible Product with Artsana or the National Highway Traffic Safety Administration (NHTSA), or (3) provide other Proof of Purchase (defined below) with your Claim Form, you may be eligible to receive a cash payment of fifty dollars ($50.00) per Eligible Product.
      Proof of purchase may also include a valid receipt or retail rewards submission from an authorized retailer, product packaging, a picture of the Eligible Product showing a new or recently purchased product, or other physical evidence (for example, a credit card statement or invoice).
    2. Without Proof of Purchase. For claimants without Proof of Purchase but who complete this Claim Form, you may be eligible to receive a cash payment of twenty-five dollars ($25.00) per Eligible Product.

Please select one or more of the following options:

If your purchase information appears in Artsana’s records (either as a result of a direct purchase on wwww.chiccousa.com or by registration of the Eligible Product with Artsana or The National Highway Traffic Safety Administration (NHTSA)), this section of the Claim Form will automatically be completed, and you will be directed to the next section. Please review this information to ensure it is accurate.

If you did not directly purchase from www.chiccousa.com or did not register an Eligible Product, you will have the chance (on the next screen) to attach pictures showing proof of purchase or confirm if your purchase appears in Artsana’s records. For now, please provide the number of Eligible Products for which you are providing proof of purchase.

Eligible Products are Chicco “KidFit” branded booster seats, including the KidFit, KidFit Zip, KidFit Zip Air, KidFit Luxe, KidFit Plus, and KidFit Air Plus models purchased between April 22, 2015 and December 31, 2021.

The next step is to scan or take a picture of each “Proof of Purchase.” Using your smartphone or other device, please scan or take a picture of the “Proof of Purchase” for each Eligible Product that you purchased. There are different ways to prove your purchase or purchases. You can use any of these types of items as Proof of Purchase.

  • A valid receipt
  • Retail rewards submission from an authorized retailer
  • Product packaging
  • A picture of the Eligible Product showing a new or recently purchased product
  • A credit card statement or invoice
  • Evidence of registration of the Eligible Product with Artsana or the National Highway Traffic Safety Administration (NHTSA)
  • Other physical evidence (for example, an email purchase confirmation or order history)

Please use the Add File feature to upload images of Proof of Purchase for each Eligible Product. You can upload more than one picture at a time.

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected.

Please confirm in the grid below that your file has been successfully uploaded.

File List: No Files Selected

    Please continue when done uploading all images of Proof of Purchase.

    If you determined that you cannot upload Proof of Purchase, please to try another way.

    Thank you. We confirm that you uploaded at least one Proof of Purchase or indicated that you would like to email or mail your Proof of Purchase in separately. Please ensure your Claim ID is included with your submission of Proof of Purchase. We will examine it for eligibility.

    If you purchased additional Eligible Products for which you do not have Proof of Purchase, please .

    Please provide the number of Eligible Products you purchased for which you have no Proof of Purchase.

    Eligible Products are Chicco “KidFit” branded booster seats, including the KidFit, KidFit Zip, KidFit Zip Air, KidFit Luxe, KidFit Plus, and KidFit Air Plus models purchased between April 22, 2015 and December 31, 2021.

    We will ask you separately about each purchase. Let’s start with your most recent purchase.

    Please complete at least TWO (2) of the 4 Groups (A-D) to continue. However, if you complete Group A (the serial number), you do not need to complete any other section.

    GROUP A

    GROUP B

    GROUP C

    GROUP D

    D3. Please also upload a photo of the product (Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected.)

    Please confirm in the grid below that your file has been successfully uploaded.

    File List: No Files Selected

      You have added 0 purchases(s).

      III. VERIFICATION AND ATTESTATION UNDER PENALTY OF PERJURY

      I declare or affirm, 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 from April 22, 2015 through December 31, 2021. I understand that my claim form may be subject to audit, verification, or Court review.

      Your Claim Form has been submitted successfully.

      Please print this page for your records.

      Your Claim Details
      Submitted Claim ID:
      Confirmation Code:
      You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
      CLAIM INFORMATION
      First Name
      Last Name
      Street Address
      Street Address 2
      City
      State
      Province
      Zip Code
      Postal Code
      Country
      Email Address
      Phone Number
      Signature
      Date

      If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at Info@ArtsanaBoosterSeatSettlement.com

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