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

If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

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

OR

If you did not receive a personalized Notice in the mail or via email, click below to complete a Claim Form.

Please note that this claims portal is scheduled to close on Pacific Time.

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.

The following payment option is not available in your country.

Attestation

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 Claim Form has been submitted successfully.

Please print this page for your records.

Your Claim Details

Submitted Claim ID:
Confirmation Code:
You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
CLAIM INFORMATION
Name
Primary Address
Primary Address continued
City
State
Province
Zip Code
Postal Code
Country
Email Address
Signature
Date

If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at Info@VenerusCarRentalInsurance.com