Gallucci v. Boiron, Inc. Settlement Claim Form
This Claim Form only relates to qualifying purchases of products manufactured by
Boiron such as Oscillococcinum, Children’s Oscillococcinum, Arnicare, Quietude,
Camilia or Coldcalm (a “Boiron Product”). Do not complete this Claim Form if you
did not make a qualifying purchase of a Boiron Product.
You may submit only one Claim Form, and two people cannot submit Claim Forms for
the same qualifying purchase of a Boiron Product.
All of the information below is required. If you do not provide all of the information
below, your claim may be denied.