This official website is maintained by the Claims Administrator under the supervision of Lead Counsel for the members of the Settlement Class in the action entitled, Caleb Padilla v. Community Health Systems, Inc., et al., Case No. 3:19-cv-00461 (the “Action”), which is pending in the United States District Court for the Middle District of Tennessee Nashville Division.
THIS CLAIM FORM CONTAINS FOUR (4) SECTIONS, ALL OF WHICH MUST BE COMPLETED BEFORE
THE FORM IS SUBMITTED, INCLUDING THE VERIFICATION ON THE LAST PAGE. YOUR CLAIM WILL NOT
BE SUBMITTED UNTIL AFTER YOU COMPLETE THE VERIFICATION AND PRESS THE RED “SUBMIT” BUTTON.
Please print the verification for your records.
- To complete the online Claim Form and Release, click [NEXT]
Note: These documents are in PDF format. To view the
documents, you will need Adobe Acrobat Reader
on your computer or other internet-enabled device.
