Claim Form

PLEASE NOTE THAT THE DEADLINE TO FILE A CLAIM HAS PASSED

If you submit a valid claim under penalty of perjury, you will receive, for all non-package hotel reservations you made and paid for on the Hotwire Website between January 10, 2001 and May 2, 2005 (“Qualifying Reservations”), your choice of a cash refund or HotDollar credit for use on Hotwire. The cash refund amount will equal 25% of the Service Fees you paid to Hotwire for your Qualifying Reservations. The HotDollar amount will equal 65% of the Service Fees you paid to Hotwire for each of your Qualifying Reservations.

You must complete the designated sections and submit through this web-based settlement website by January 23, 2010.

You must fully answer each of the questions below that are applicable to you, and verify your claim under penalty of perjury. Failure to complete the relevant sections, provide the requested documentation, and verify your claim under penalty of perjury may result in the denial of your claim.

The claims administrator reserves the right to request additional information regarding any submission.

 

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