Venerus, et. al. v. Avis Budget, et al

Case No. 6:13-cv-921-CEM-GJK

United States District Court Middle District of Florida Orlando Division

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Please remember to enter the full Notice ID exactly as it appears on your personalized Notice, (i.e. 12345678).

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Claim Form

If you rented a vehicle from Avis Budget in Florida after June 12, 2008 and through December 31, 2015, pursuant to a prepaid voucher, and your Rental Receipt contained the notation “SLI .00/Day Accepted” or “ALI .00/Day Accepted, to submit a claim, please: (1) provide your full name; (2) provide EITHER the rental agreement number (upper left corner of rental contract) or the reservation number (bottom right of the rental contract) or the year in which your rental(s) occurred; (3) provide your address; (4) sign and date this form by following the instructions below; and (5) submit the completed form on or before January 20, 2022.

A sample Rental Contract can be viewed here.

+ Add Reservation or Rental Agreement Number

+ Add Rental Year

Payment Method

If your claim is determined to be valid and timely, you can receive payment in one of the three options below. Please select the method by which you wish to receive payment, including the necessary information depending on which option you select. You can only select one option.

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    By signing below, I attest that I am the person identified above or I am the legally authorized personal representative, guardian, or trustee of the person identified above, and that, to the best of my knowledge, the information on this Claim Form is true and correct:

    Your Deficiency Response has been submitted successfully.

    HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to:

    Please print this page for your records.

    Your Claim Details

    Submitted Claim ID:
    Confirmation Code:
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    If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at