Settlement Pending - Response Form

Didn't receive a settlement offer via email? Click here to request the offer be resent.

Please provide your first and last name, email address, service order number and your full address in the body of the email.

If a check or a replacement is being sent to you, it will be sent to this address. Please verify that your address is entered correctly before submitting this form. 

By typing my name below, I am consenting to the option selected above and to the following terms: 

I understand that multiple copies of my above submission are kept on file at New Leaf Service Contracts for verification purposes. I have reviewed the information above and hereby certify that it is accurate and true. I have been given ample time to review my settlement offer and to ask any questions concerning my settlement offer. I understand that by submitting my response using this form, I may be, depending on the selection above, consenting to receive the exact settlement offered by New Leaf Service Contracts, Inc. as governed by my Terms and Conditions. I also understand that this offer is final and cannot be changed, updated, or negotiated. 

Please verify the form for accuracy BEFORE clicking the button below. 

Thanks for submitting your response! We'll provide you with more information on what's next shortly.