Kia HECU Settlement

The Settlement Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of any payment, you must notify the Settlement Administrator in writing.

Claimant Type:*

First Name:*

Middle Initial:

Last Name:*

Business/Entity Name:*

Representative Name:

Country:*

Address Line 1:*

Address Line 2:

Address Line 3:

Address Line 4:

Address Line 5:

City:*

State:*

Province:*

ZIP Code:*

Postal Code:*

Phone Number:

Email Address:*

Please Note: The email address provided above will be used for all communication regarding your Claim Form.

Please enter your 17-digit Vehicle Identification Number (VIN):*

Please provide your vehicle's estimated mileage.*

Submit a Claim - Page 1

Contact Information:

Vehicle Information:

Contact Information:

Vehicle Information:

Where Can I Find My VIN?