Submit a Claim - Claim Instructions

If you are in the Florida Repair Class, Nationwide Repair Class, or Warranty Class, you are not required to submit a claim form to receive a Product Voucher(s) if the Settlement is approved and becomes final. You will automatically receive the voucher(s) to which you are entitled through email or First Class Mail, at the address Costa has on file for you following the Final Effective Date.

Members of the Florida Purchase Class must submit a claim form to get the benefits for which they may be eligible. These individuals must submit a Claim Form by January 31, 2021. A Claimant who, by definition, would fall into both the Florida Repair Class and Florida Purchase Class, shall only be entitled to Product Voucher(s) from the Florida Repair Class for those sunglasses which were repaired and a fee paid to Costa. To the extent a Class Member may have additional sunglass purchases beyond the number of repair claims in the Florida Repair Class, that Class Member may submit a claim for those additional purchases not covered by the Florida Repair Class Product Voucher(s).

An explanation of Class Definitions can be located on the Frequently Asked Question page or the Home page of this website.

File Online:

In this Claim Form, you will be asked to provide your contact information, detailed information about the losses you incurred, and any documentation you wish to provide to prove those losses. Please have all your documentation ready, as your Claim will not be saved if you have to come back and finish at a later time.

Please fill out the form completely. Failure to do so may result in a denied claim.

Start Your Claim Form
File by Mail, Email, or Fax:

If you wish to submit a claim for a Product Voucher via standard mail, you may download a copy of the form here. You will need to provide all of the information requested on the Claim Form, attach any documentation, sign it, and date it. Then mail it to the following address:

Smith v. Costa Del Mar, Inc. Settlement
Settlement Administrator
P.O. Box 3259
Portland, OR 97208-3259

You may also file your Claim Form by email at, or by fax at 1-833-941-2794.

Remember, all claims must be submitted online or postmarked no later January 31, 2021.