Michael Allagas, et al., v. BP Solar International, Inc., et al.
BP Solar Panel Settlement
Case No. 3:14-cv-00560-SI (EDL)

Please read the following instructions before submitting a claim:

  • A separate claim form is required for each property where BP solar panels are installed.
  • This claim form includes several requests for supporting documentation. If your documentation exceeds 20mb, please complete the form without uploading the documents and then email 888-956-2472 for information on how to submit the documents separately.
  • Questions marked with an asterisk (*) are required.

A. CLAIMANT AND PROPERTY INFORMATION

Property address where BP solar panels are installed: Same as above

1. If yes, check this box
2. If yes, check this box
  • :
3. If yes, check this box
4. If yes, check this box

B. SOLAR PANEL INFORMATION

1.
If yes, check this box
2.
(Note: If possible, please submit a photograph of your solar panel system with a current date stamp.)
Add Photo
3.
Add Row
4.
If yes, check this box
5.
If yes, check this box

C. INSTALLATION INFORMATION

1.
2.
Please select one:
  • :
3.
4.
5.
6.

D. PRIOR WARRANTY CLAIMS

1. If yes, check this box
Case number
Date
Add Row
2. If yes, check this box

E. SETTLEMENT BENEFITS

Category 1: If it is determined that you are entitled to replacement of all or some of your Class Panels, please indicate a preference from the options below.
Category 2: If it is determined that you are not entitled to full replacement, but have Class Panels currently installed, you will receive a free visual inspection, replacement of failed Class Panels, and/or a new inverter with arc fault detection as set forth in the Settlement Agreement which is available from the (888) 217-1351 page.

F. CERTIFICATION

I/we declare, under penalty of perjury under the laws of the United States of America, that the information in, and submitted with, this Claim Form is true and correct to the best of my/our knowledge and belief. I/we authorize the Claims Administrator to contact anyone else who may have supplied information or documentation about this claim, such as contractors, material suppliers, or declarants.
Signature of Claimant/Legal Representative*
Date

If you are the Legal Representative, please complete the following and include any documentation showing your relationship to the Claimant: