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).

ADDITIONAL INFORMATION ABOUT ACTIVATING FREE CREDIT MONITORING BELOW

The deadline for submitting this proof of claim form is

Please add the email, Confirmation@SnapOnSecurityIncident.com, to your contact list to ensure that future correspondence is delivered to your inbox.

All individuals residing in the United States whose personal information was compromised in a security incident that is the subject of the data security incident notice that Snap-on Incorporated sent on or after April 7, 2022 are Settlement Class Members (referred to here as the “Security Incident”).

As a Settlement Class Member, you are eligible for cash payments as reimbursement for time and documented costs of responding to the Security Incident, or for documented losses you may have suffered if you were a victim of identity theft or fraud as a result of the Security Incident. Independent of the cash payments, you have also been provided with a year of free Credit Monitoring services in addition to the 24 months of Credit Monitoring services provided in the Security Incident notice that Snap-on sent on or after April 7, 2022, as described below. You must fill out this Claim Form to receive cash payments and activate the code for the additional year of free Credit Monitoring services.

You may receive:

Up to $750 if you have not suffered fraud, identity theft, or misuse of your data. This money will be provided as reimbursement for the following items:

  • Out of Pocket Expenses. You are eligible to receive reimbursement for money you paid to protect yourself after the Security Incident, such as money spent on a credit monitoring service, if such costs have not been previously reimbursed by an institution, such as through the IDX insurance previously offered to Settlement Class Members by Snap-on, other insurance coverage, or a financial institution. To receive reimbursement for these expenses, you must attach some documentation of these expenses, such as a receipt or a screenshot of a confirmation page. The date the expense was incurred and the total amount of the expense must be visible in the documentation you provide.
  • Lost Time. By filling out this Claim Form, you can attest to the amount of time you spent preventing or mitigating fraud or identity theft following the Security Incident. For example, this can include time spent on the phone with banks, researching the Security Incident to determine if you were affected, or freezing your credit. You will be reimbursed for your Lost Time at your normal hourly wage, but in no case less than $15/hour and no more than $25/hour. As evidence of your Lost Time, you can complete and sign the Claim Form under penalty of perjury, identifying your normal hourly wage and the amount of time you spent and what you did to prevent fraud or identity theft following the Security Incident.

Up to $2,500 if you have suffered fraud, identity theft, or misuse, as reimbursement for the Documented Losses incurred if such losses have not been previously reimbursed by an institution, such as through the IDX insurance previously offered to Settlement Class Members by Snap-on, other insurance coverage, or a financial institution. This cash payment will be provided in addition to the up to $750 reimbursement for Lost Time and Out-of-Pocket expenses described above, if also claimed. Documented Losses incurred from fraud include, for example, if money was stolen from your checking account, if you incurred late fees on your bank account or rent because of fraud, if your tax return was stolen, or if your credit score was declined because of fraudulent loans in your name and you faced higher borrowing costs. To receive money for these Documented Losses, you must include documentation of the fraud and damages you incurred.

Free Credit Monitoring. The Credit Monitoring and Insurance Services include the following services, among others: (i) up to $1,000,000 of identity theft insurance coverage; (ii) three-bureau credit monitoring, providing, among other things, notice of changes to your credit profile; and (iii) practical help, such as managed fraud assistance and assistance in implementing further protections, including freezing and unfreezing credit. Snap-on has already given you an activation code for twenty-four (24) months of free credit monitoring services in the Security Incident notice that Snap-on sent you on or after April 7, 2022. To receive the additional year of credit monitoring benefit, you do not need to file a Claim Form. If you previously activated credit monitoring services when Snap-on offered them to you, your services will automatically be extended for an extra year, unless you decline the extension by visiting the Settlement Website. If you did not previously activate the credit monitoring services Snap-on offered to you, you may do so now with the activation code provided in this mailing.

Cash payment amounts may be reduced pro rata (equally among class members) depending on how many Settlement Class Members submit Claim Forms. Complete information about the Settlement and its benefits are available at www.SnapOnSecurityIncident.com.

This Claim Form may be submitted online at www.SnapOnSecurityIncident.com or completed and mailed to the address below. Please type or legibly print all requested information, in blue or black ink. Mail your completed Claim Form, including any supporting documentation, by U.S. mail to:

Snap-on Security Incident Settlement Administrator
1650 Arch Street, Suite 2210
Philadelphia, PA 19103

II. Contact Information

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 cash payments, you must notify the Settlement Administrator in writing at the address above.

* Required Fields

III. PAYMENT FOR LOST TIME

Class Members who elect to submit a Claim for Lost Time Payment may claim no more than $750 for time actually spent addressing issues arising from the Security Incident. If you are selecting reimbursement for Lost Time, you must fill in the blanks in this Section and sign the certification at the end of the claim form.

I declare that I suffered Lost Time. Specifically, I spent hours attempting to prevent fraud and identity theft related to the Security Incident (rounded to the nearest half-hour). My rate of pay during the last shift I worked at Snap-on or my Snap-on franchise was $ per hour. (This will be used to determine the hourly rate at which you will be reimbursed at for your lost time, except that the hourly rate for reimbursement will be a minimum of $15 and a maximum of $25).

Failure to meet the requirements of this Section may result in your claim being rejected by the Settlement Administrator.

IF YOU ARE ONLY MAKING A CLAIM FOR LOST TIME AND YOU DID NOT HAVE ANY OUT-OF-POCKET EXPENSES OR DOCUMENTED LOSSES FOR WHICH YOU ARE SEEKING REIMBURSEMENT, PLEASE PROCEED TO SECTION VI AND VII BELOW.)

IV. REIMBURSEMENT FOR OUT-OF-POCKET EXPENSES INCURRED TO PREVENT IDENTITY THEFT OR FRAUD AND/OR REIMBRUSEMENT FOR DOCUMENTED LOSSES DUE TO IDENTITY THEFT OR FRAUD

I declare that I incurred Out-of-Pocket expenses or Documented Losses (or both) as a result of the Security Incident as follows, and that for any amount sought below, I did not receive reimbursement through the IDX insurance previously offered to me by Snap-on.

In order to make a claim under this Section IV, you must (i) fill out the information below; (ii) select a payment method (see Section VI below), (iii) sign the attestation at the end of this Claim Form (see Section VII below); and (iv) include documentation supporting each claimed Out-of-Pocket expense and/or Documented Loss along with this Claim Form. Any Out-of-Pocket expenses and/or Documented Losses claimed must be deemed fairly traceable to the Security Incident by the Settlement Administrator based on the documentation you provide and the facts of the Security Incident.

The Settlement Administrator will determine whether your submission is an Out-of-Pocket loss incurred to prevent identity theft or fraud (in which case, the amount claimed will count toward the $750 cap set forth in Section I above), or a Documented Loss incurred as a result of identity theft or fraud (in which case, the amount claimed will count toward the $2,500 cap set forth in Section I above).

Failure to meet the requirements of this Section may result in your claim being rejected by the Settlement Administrator.

Cost Type
(Fill all that apply)		 Approximate Date of Loss Amount of Loss
Credit monitoring

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Example: Receipts or account statements reflecting purchases made for credit monitoring and insurance services
Miscellaneous expenses

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Example: Phone bills, gas receipts, postage receipts; detailed list of locations to which you traveled (i.e. police station, IRS office) why you traveled there (i.e. police report or letter from IRS re: falsified tax return) and number of miles you traveled to remediate or address issues related to the Security Incident.
Other

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Please provide a detailed description below or in a separate document submitted with this Claim Form
Unreimbursed fraud losses or charges

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Examples: Account statement with unauthorized charges highlighted; correspondence from financial institution declining to reimburse you for fraudulent charges.
Professional fees

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Receipt for hiring service to assist you in addressing identity theft; accountant bill for re-filing tax return
Credit freeze

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Example: Receipts or account statements reflecting purchases made for credit monitoring and insurance services
Lost interest or other damages

Description of Supporting Reasonable Documentation (Identify what you are attaching and why):

Examples: Letter from IRS or state about tax fraud in your name; documents reflecting length of time you waited to receive tax refund and amount of the tax refund.

If you do not submit documentation supporting the Out-of-Pocket Expenses and/or Documented Losses you claim, or your claim for such expenses and/or losses is rejected by the Settlement Administrator for any reason and you do not cure the defect, your claim will not be paid.

V. Supporting Documentation

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected.

Please confirm in the grid below that your file has been successfully uploaded.

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    VI. Payment Method

    You have successfully requested a payment. Click here if you would like to choose a different payment method.

    VII. Certification

    By submitting this Claim Form, I certify that I am eligible to make a claim in this Settlement and that the information provided in this Claim Form and any attachments are true and correct. I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. I understand that this claim may be subject to audit, verification, and Court review and that the Settlement Administrator may require supplementation of this claim or additional information from me. I also understand that all claim payments are subject to the availability of Settlement funds and may be reduced in part or in whole, depending on the type of claim and the determinations of the Settlement Administrator.

    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
    Street Address 2
    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@SnapOnSecurityIncident.com

    Click here to edit your Claim.

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