If your business accepted Visa and/or Mastercard between 2004 - 2019, you're now eligible to claim your share of a $5.5 billion Settlement.

Please provide the information requested below to create an account. Please also provide one Taxpayer Identification Number ("TIN") and documentation showing you have the right to act on behalf of the merchant to which the TIN belongs. The Class Administrator will review your documentation and, if it is sufficient, search its records to see if it has interchange transaction fee information for the merchant. You will be notified via email once the Class Administrator's review is complete. You can additional TINs to your account once it has been created, and the Class Administrator will attempt to search its records for those as well.

Provide TIN:

Provide TIN

Taxpayer Identification Number:*

Business Name:*

Proof of Authorization documentation showing you have authority to act on behalf of the TIN you provided is required before you can submit a Claim. If available, please upload your Proof of Authorization below. If you do not have that documentation available now, you may be contacted by the Class Administrator and asked to provide it at a later date.

Please upload your documentation below. Documents should be clear, readable copies.

Each file must be less than 20 MB and in one of the following formats: jpg, jpeg, png, gif, tif, tiff, or pdf.

Browse Files

Cancel

Uploaded Files

	Uploaded File Name	Inserted Date

Contact Information:

Contact Information

Representative Name:*

Representative Title:

Representative Business Name:*

What is your relationship to the Merchant(s) for whom you will be submitting claim(s)?*

•  Owner/Employee
•  Third Party Filer/Claim Purchaser
•  Other

---

Please describe your relationship to the Merchant(s).*

Country:* United States Canada Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo DR Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands North Korea Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom US Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Address Line 1:*

Address Line 2:

City:

Province/Region:

Postal Code:

City:*

State:* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces AE Armed Forces Pacific American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Puerto Rico Palau U.S. Minor Outlying Islands U.S. Virgin Islands

Province:* Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

ZIP Code:*

Postal Code:*

Phone Number:*

Email Address:*

Your Email Address will be your username for accessing this Merchant Portal in the future.

Confirm Email Address:*

Password:

Password:

Password:*

Confirm Password:*

Must contain at least 1 upper case character A - Z, 1 lower case a - z, 1 digit 0 - 9, 1 special character (!@*$%&) and be between 6-10 characters in length.

Once you have entered your Email Address, Password and Merchant Record information, please click the "Create Account" button below to continue.

Previous