Submit Consent and Authorization Form
If you have submitted a Questionnaire and Release and received a Reference Number, you must also complete the Consent and Authorization Form.
DOWNLOAD CONSENT AND AUTHORIZATION FORM
To begin submitting your completed Consent and Authorization Form, click the button below.
SUBMIT MY COMPLETED CONSENT AND AUTHORIZATION FORM
If you misplaced your Reference Number, please contact the Fund Administrator at claims@SDNYSettlementFund2026.com for assistance.
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Simone K. Lelchuk, Fund Administrator
C/O Frejka PLLC
415 East 52nd Street, Suite 3
New York, NY 10022
C/O Frejka PLLC
415 East 52nd Street, Suite 3
New York, NY 10022
