How to File a Proof of Claim

All Proof of Claim forms must be filed so as to be received on or before the Bar Date of June 30, 2020 at 5:00 p.m. (Prevailing Eastern Time).

Proof of Claim forms will be deemed timely filed only when actually received. Submission of Proof of Claim forms by facsimile, telecopy, or electronic mail transmission is not permitted. You may file claims via any of the methods set forth below:

Electronically

CLICK HERE

to electronically file a Proof of Claim. The claim form will be in English.

Note: You will be redirected to Prime Clerk’s Online Claim Filing Portal.

by U.S. Postal Service mail

Purdue Pharma Claims Processing Center
c/o Prime Clerk LLC
Grand Central Station, PO Box 4850
New York, NY 10163-4850

Click here to download printable and/or fillable Proof of Claim Form(s).

by overnight mail

Purdue Pharma Claims Processing Center
c/o Prime Clerk LLC
850 Third Avenue, Suite 412
Brooklyn, NY 11232

Click here to download printable and/or fillable Proof of Claim Form(s).

by hand delivery

Purdue Pharma Claims Processing Center
c/o Prime Clerk LLC
850 Third Avenue, Suite 412
Brooklyn, NY 11232
United States Bankruptcy Court
Southern District of New York
300 Quarropas Street
White Plains, NY 10601*

Click here to download printable and/or fillable Proof of Claim Form(s).

You must file an originally executed Proof of Claim. If you submit your claim via mail, hand delivery, or overnight courier and would like a copy of your Proof of Claim returned to you as proof of receipt, please include an additional copy and a self-addressed postage-paid envelope.

*Proofs of Claim delivered by hand to the Clerk’s Office of the United States Bankruptcy Court that contain confidential information must be delivered in an envelope marked "CONFIDENTIAL."

The information requested on the Proof of Claim Forms is being collected for the purposes of processing any claim you may have against the Debtors. YOUR PROOF OF CLAIM FORM MUST NOT CONTAIN ANY OF THE FOLLOWING: (i) complete social security numbers or tax identification numbers (only include the last four digits), (ii) a complete birth date (only include the year), (iii) the name of a minor (only include the minor's initials) or (iv) a complete financial account number (only include the last four digits). If the claim is based on the delivery of health care goods or services, limit the disclosure of the goods or services so as to avoid embarrassment or the disclosure of confidential health care information.

If you submit your Proof of Claim Form via first class mail, hand delivery or overnight mail, do not attach original documents to your Proof of Claim Form because they will not be returned and may be destroyed after scanning

EXCEPT IN THE CASE OF PERSONAL INJURY CLAIMANT PROOF OF CLAIM FORMS (WHICH WILL REMAIN HIGHLY CONFIDENTIAL AND WILL NOT BE MADE PUBLICLY AVAILABLE), SOME OR ALL OF THE INFORMATION YOU PROVIDE ON THE PROOF OF CLAIM FORM WILL BE PUBLICLY DISPLAYED AND/OR ACCESSIBLE ON THE DEBTORS’ CASE WEBSITE HOSTED BY PRIME CLERK PURSUANT TO APPLICABLE LAW AND/OR BANKRUPTCY COURT ORDER. Additionally, such information may be shared with certain third parties affiliated with this matter in furtherance of the bankruptcy case and process (in the case of personal injury claimant information, subject to the Protective Order). Although you may have certain rights relating to the information provided on the proof of claim form under certain laws, applicable law or court order may prohibit the amendment or erasure of such information once it is submitted, including information displayed and/or accessible at the case website.