Volkswagen and Audi Primary Engine Water Pump Class Action Settlement

VOLKSWAGEN AND AUDI ENGINE WATER PUMP SETTLEMENT REIMBURSEMENT CLAIM FORM

TO RECEIVE REIMBURSEMENT FOR CERTAIN PAST EXPENSES:

You must complete, sign and submit this Claim Form together with all required Proof of Ownership, Proof of Repair Expense and Proof of Adherence to the Vehicle’s Maintenance Schedule to receive reimbursement of certain past out-of-pocket expenses for one covered repair of the Primary Engine Water Pump (defined as the primary coolant module including the engine water (coolant) pump and the controller unit) and/or of engine damage directly due to a failure of the Primary Engine Water Pump of an Eligible Vehicle. Terms and conditions of reimbursement are governed by the settlement reached in Blaine Covill v. Volkswagen Group Canada, Inc. et al, Court of Kings’s Bench for Saskatchewan Court File No. QBG-RG-02776-2018.

Details about the settlement are available at www.canadianwaterpumpsettlement.ca.

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