Sulzer Implant Settlement

Instructions for Downloading PDF Claim Forms

The Claim Forms available on this website are in a Fillable Format. This Format allows you to either print the Form and fill out by hand, or complete the Form while displayed on your computer screen. After completing the Form, it MUST be printed, signed and dated.

WE DO NOT ACCEPT ONLINE SUBMISSION OF CLAIM FORMS. YOUR CLAIM FORM MUST BE PRINTED, SIGNED, DATED AND SENT BY MAIL TO THE FOLLOWING ADDRESS:

Claims Administrator
Sulzer Settlement Trust
P.O. Box 94558
Cleveland, OH 44101-4558

There are 3 Options for Completing Claim Forms in PDF Format

PDF stands for “Portable Document Format.” Using this file Format allows you to view and print a file exactly as it was created.

To use the PDF Format, you must have Adobe Acrobat Reader installed on your computer. The latest version (5.0) is highly recommended. You must have Adobe Acrobat Reader version 4.0 or above to complete PDF Forms on the screen. The free Adobe Acrobat Reader will NOT allow you to save data you have entered onto the Form. This program may be downloaded for free from the Adobe website by clicking the button below:

If you want to save the completed PDF form with your personal information, you will need to purchase a licensed Adobe product such as Adobe Acrobat Approval.

1. Printing and Filling Out by Hand

• After you have installed Adobe Acrobat Reader, you can click on the link for the Claim Form you wish to fill out, and the Form will open on your screen.
• You may either click on the printer icon at the top of your screen or you may go to "File" in the menu bar at the top of your screen and click on “Print.”
• You must print and complete all the pages of the Form you choose to fill out.
• Be sure to make a copy for your personal records.
• You must sign, date and mail all the pages of the Form to the address listed above.

2. Fill in Form on Your Computer Screen and Print

With this option, you may choose to fill in part of the Form or the entire Form and print by using the free version of Adobe Acrobat Reader. While you may download the blank Form to your personal computer drive, you will not be able to save any personal information you enter into the Form. When you close the Form, all work you have entered will be lost.

• After you have installed Adobe Acrobat Reader, you can click on the link for the Claim Form you wish to fill out, and the Form will open on your screen.
• To fill out the Form on your screen, move the cursor over the Form with your mouse and use your mouse to left click in the first area to be filled.
• Your cursor will look like a hand until you reach a fillable area. The hand will become a pointing finger over check boxes and you can select the option or options that apply to you. The cursor will become an “I” over text boxes and you can fill in information by typing into the text box. Use the TAB key to advance to the next fillable field.
• To fill check boxes, left click with the mouse; to deselect a check box, left click the mouse again.
• Once you have clicked on a text field, you can type in the appropriate information and then TAB to the next field. You may return to any previously completed field by left clicking on the area that you would like to edit.
• Your typing will not match the tick marks provided. The tick marks are for claimants who print by hand. It is acceptable for your typing to overlap the marks.

• Do not use a dollar sign ($), or commas when entering dollar amounts, but do use decimal points. The numbers will automatically be formatted into a dollar amount.
• Signature and corresponding date fields are NOT fillable on your computer screen. They must be filled in by hand after the document has been printed.
• When you finish entering information into the last text field on a Form, be sure to press TAB to move the cursor out of that field, or the information in the last field will not print.
• You may either click on the printer icon at the top of your screen or you may go to "File" in the menu bar at the top of your screen and click on “Print.”
• You must print, sign, date and mail all the pages of the Form you choose to fill out to the address listed above.
• Be sure to print or photocopy a second copy for your personal records.

3. Save the Form to Your Personal Computer and Save Completed Information for Your Records

With this option you may choose to download the blank Form to your personal computer drive or floppy disk, and fill in part of the Form or the entire Form at your own pace. You will need to purchase a licensed copy of Adobe Acrobat Approval* in order to use this option unless you already own a full version of Adobe Acrobat. With this product you will be able to fill in information and save what you have entered for future reference. You will still need to print, sign, date and mail the finished version to the address listed above.

• After you have installed Adobe Acrobat Approval, you can click on a Form that is saved as a PDF file and the Form will open on your screen.
• To fill out the Form on your screen, move the cursor over the Form with your mouse and use your mouse to left click in the first area to be filled.
• Your cursor will look like a hand until you reach a fillable area. The hand will become a pointing finger over check boxes and you can select the option or options that apply to you. The cursor will become an “I” over text boxes and you can fill in information by typing into the text box. Use the TAB key to advance to the next fillable field.
• To fill check boxes, left click with the mouse; to deselect a check box, left click the mouse again.
• Once you have clicked on a text field, you can type in the appropriate information and then TAB to the next field. You may return to any previously completed field by left clicking on the area that you would like to edit.
• Your typing will not match the tick marks provided. The tick marks are for claimants who print by hand. It is acceptable for your typing to overlap the marks.

• Do not use a dollar sign ($), or commas when entering dollar amounts, but do use decimal points. The numbers will automatically be formatted into a dollar amount.
• Signature and corresponding date fields are NOT fillable on your computer screen. They must be filled in by hand after the document has been printed.
• When you finish entering information into the last text field on a Form, be sure to press TAB to move the cursor out of that field, or the information in the last field will not print.
• You may either click on the printer icon at the top of your screen or you may go to "File" in the menu bar at the top of your screen and click on “Print.”
• You must print, sign, date and mail all the pages of the Form you choose to fill out to the address listed above.
• You will be able to save the Form and all personal information you have entered for future reference.

Downloading to Your Local Computer Drive

• Right click your mouse button on the Claim Form link and select “Save Target As.”
• Select a destination folder and enter a filename. 
• Then click Save. 
• If you have the free version of Adobe Acrobat Reader, you will only be able to save the Form to your local drive. You will not be able to save the information you enter onto the Form.

How to Print Claim Forms

• You may use the Adobe Acrobat and chose the printer icon; or 
• You may go to "File" in the menu bar at the top of your screen and click on “Print.”
• You must print all pages, sign and date the appropriate places, and mail all pages of the Form you choose to fill out to the address listed above.

Frequently Asked Questions

1. What is a PDF document?

PDF stands for “Portable Document Format.” Using this file Format allows you to view and print a file exactly as it was created.

2. When I click on the PDF Form I get a blank page. What should I do?

Go to “Help” in the menu bar at the top of your screen and click on “About Acrobat Reader.” If you have a version that is a lower number than 4.0, you should download the latest free version from the Adobe website by clicking the button below.

3. How do I download a PDF file to my local computer drive?

Right click your mouse button on the file and select “Save Target As.” Select a destination folder and enter a filename. Then click “Save.” You will be able to save the Form to your local drive, but not the information you enter onto the Form.

4. How can I save the data I have entered so that I can reuse it?

You must purchase a licensed version of Adobe Acrobat in order to save your personal data onto the Form. The free Adobe Acrobat Reader (downloaded version) will NOT allow you to save data you enter onto Forms.