READ THESE INSTRUCTIONS CAREFULLY. IF YOU FAIL TO FOLLOW THESE INSTRUCTIONS, YOU MAY LOSE CERTAIN BENEFITS TO WHICH YOU MIGHT OTHERWISE BE ENTITLED.

The settlement will provide a $15 cash payment if you are a United States resident who is or was the original owner of an iPhone 4 as of February 17, 2012, and you experienced antenna or reception issues, meet the eligibility requirements, and fill out and submit a valid Claim Form.

You are limited to one cash payment.

Do not use a Claim Form to request a bumper for your iPhone 4. Go to http://support.apple.com/kb/HT4389 for instructions on how to request a bumper.

Unless you request exclusion from the class as explained in the Class Notice, you will be bound by the Settlement Agreement and Release and the Final Judgment even if you do not return the Claim Form.

To make a claim, complete the Claim Form in compliance with the instructions below. You may (a) mail the original of the signed Claim Form to Apple iPhone 4 Settlement Claims Administrator, P.O. Box 43062, Providence, RI 02940-3062, or (b) scan the signed Claim Form and upload it here or e-mail it to claims@iPhone4Settlement.com. If you have any questions while completing the Claim Form, please click here . Please keep copies for your records.

You must fill out and submit a completed Claim Form postmarked or electronically submitted on or before August 28, 2012. If you fail to submit your Claim Form by the deadline, your claim will be rejected, and you will be deemed to have waived all rights to receive a payment under this settlement.

Remember: To be valid, your Claim Form must be completely and accurately filled out and must include all requested information. If your Claim Form is incomplete, untimely, or contains false information, it may be rejected by the Claims Administrator.

This website allows Class Members to view and print a customized Claim Form in PDF format. You must mail or send a fully completed Claim Form to make a claim. Providing the information below and printing a Claim Form does not obligate you to submit a claim in this case. By providing the information on the Claim Form page, you are NOT filing a claim.

To go to the Clam Form Page click