Griffin v. City of Madison Heights

Case No. 2020-181196-CZ

Oakland County Circuit Court

If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Notice ID exactly as it appears on your personalized Notice, (i.e. 12345678).

OR

If you did not receive a personalized Notice in the mail or via email, click below to complete a Claim Form.

Please note that this claims portal is scheduled to close on Pacific Time.

SECTION A: NAME AND CONTACT INFORMATION (MAILING ADDRESS)

Provide your name and contact information below. The Claims Administrator will send your refund checks to your Mailing Address. It is your responsibility to notify the Claims Administrator of any changes to your contact information after the submission of your Claim Form.

    * Required Fields
    SECTION B: INFORMATION ABOUT WATER & SEWER CHARGES PAID DURING THE CLASS PERIOD

    List the address of the affected property below only if it is different from the Mailing Address provided above. Please submit a separate Claim Form for each Property for which you paid the City of Madison Heights for water and/or sewer service.

      Provide the period of time in which you paid stormwater charges to the City of Madison Heights:

      + Add Dates

      If there are gaps within the period of time in which you paid stormwater charges to the City of Madison Heights, please attach a sheet listing the additional date range(s).

      SECTION C: CERTIFICATION STATEMENT FOR ENTIRE CLAIM FORM

      I affirm under penalty of perjury that all information in this Claim Form is true and accurate and by submitting this Claim Form, I certify that I paid the City of Madison Heights for water and/or sewer services between July 1, 2016, and June 30, 2021 (the “Class Period”). I understand the Claims Administrator may contact me to request further verification of information provided on this Claim Form.

      Your Claim Form has been submitted successfully.

      Please print this page for your records.

      Your Claim Details

      Submitted Claim ID:
      Confirmation Code:
      You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
      CLAIM INFORMATION
      First Name
      Last Name
      Street Address
      City
      State
      Zip Code
      Email Address
      Phone Number
      Signature
      Date

      If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at Info@MadisonHeightsStormwaterSettlement.com

      Click here to edit your Claim.