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Claim Form

The Claim Form for Old Cal-Shake is available below as a downloadable Adobe® Acrobat® PDF document. In order to be eligible for payment, you must fill out this claim form and return it to the Old Cal-Shake Settlement Administrator.

After reviewing your claim and determining its eligibility, you will be sent a letter from the Administrator verifying the status of your claim. If more information is needed, you will be contacted by the Administrator’s office via telephone or email.

If you have any questions about the Old Cal-Shake Claim Form, you can communicate with the Settlement Administrator at 1-866-844-0600.

Submit your completed claim form by mail to:

Old Cal-Shake Settlement Administrator
PO Box 38309
Sacramento, CA 95838



If the Cal-Shake shakes on your roof were manufactured between February 1, 1986 and March 31, 1995, another Settlement covers your claim. Please click here for complete information on that Settlement, including filing a Claim.