This is NOT a Claim Form. This is the form you should use if you want to Opt Out of the Maui Fires Class Settlement.

Every individual or entity wishing to opt out of the Class Settlement must submit an Opt Out Form. You may submit this Opt Out Form on another Person’s behalf only if (a) you are submitting it on behalf of an entity (such as a business); or (b) you are the legal representative of an individual and submitting it on their behalf. If you are opting out on behalf of more than one individual or entity, you must submit a separate Opt Out Form on behalf of each.

If you have hired a lawyer to represent you in relation to the August 2023 Maui Fires, you should talk to your lawyer about excluding yourself from the Class Settlement by executing an Individual Settlement Agreement and Release before October 7, 2025, and seeking payment through the Individual Settlement Fund. You will not be able to receive benefits from both the Class Settlement Fund and Individual Settlement Fund.

THE DEADLINE TO SUBMIT AN OPT OUT FORM ONLINE IS OCTOBER 7, 2025.