Submit a Claim

Claim Form Login

In order to receive your Individual Settlement Amount, Class Members must complete and submit a Claim Form on or before August 23, 2025. Please review the instructions below carefully. If you have questions regarding this form, you may contact the Settlement Administrator at info@RiseSettlement.com or (833) 360-6878.

Instructions for Completing a Claim Form.

  1. If you would like to receive your your Individual Settlement Amount, it is your responsibility to ensure the Settlement Administrator has timely received your Claim Form by August 23, 2025. Claim Forms can be completed online or submitted by mail or email.

  2. You must provide the Settlement Administrator with tax reporting information. As explained in the Class Notice, part of the Individual Settlement Amount you receive will be paid for non-wage damages and reported as non-wage income and you will receive an IRS Form 1099 for this amount. You need to provide us with the substitute Form W-9 information so that the amounts may be reported to the Internal Revenue Service and applicable state taxing authority. Part of the Individual Settlement Amount will also be paid and reported as wages on an IRS Form W-2.

  3. Provide information about a deceased Class Member if applicable. If the employee to whom this Class Notice is addressed is deceased, you need to provide a death certificate to the Settlement Administrator and documentation showing that you are the court- appointed estate representative or if there is no court appointed representative, documentation showing you are the surviving spouse, the surviving child, or the surviving parents of the employee to whom the Class Notice is addressed.

To start your online claim form, you can find your Unique ID and PIN on the Notice that was sent to you. If you are unable to locate your Unique ID and PIN, please contact the Settlement Settlement Administrator at info@RiseSettlement.com or (833) 360-6878. You will be asked to provide the Class Member’s full name and mailing address.

You may also submit the paper form you received, along with your supporting documentation, by U.S. mail or email to:

Anthony v Rise Services Inc., et al.
c/o Settlement Administrator
P.O. Box 26170
Santa Ana, CA 92799
info@RiseSettlement.com