Make a Claim - Instructions

If you are a member of the Business Class and wish to receive a Settlement benefit under the Settlement, you must submit a valid Claim Form so that it is postmarked (if mailed) or submitted online no later than July 15, 2026.

Please read the Class Notice before you complete your Claim Form for the following Settlement benefits:

If you did not receive a notice and are without a Unique ID and PIN, please download the appropriate Claim Form(s) and mail to the Settlement Administrator no later than July 15, 2026.

Si no recibió un aviso y no cuenta con un ID Único y un PIN, descargue el(los) Formulario(s) de Reclamación correspondiente(s) y envíelos por correo al Administrador del Acuerdo a más tardar el 15 de julio de 2026.

Flat Election Payment Claim Form: You may submit a Claim Form without documentation for a flat $10,000 payment per Business Class Member.

If you do not have tax returns, financial statements, or sufficient documentation to support your Claim Form, you may choose this option. You will be provided a flat payment of $10,000 for shutting down for three business days (the mandatory evacuation window). To the extent that claims rates exhaust the Settlement Fund such that dollar-for-dollar payments cannot be made, all businesses will receive the same pro rata reduction (e.g., 90 cents for every dollar of loss).

Actual Net Business Loss Claim Form: You may submit a Claim Form with documentation for substantiated actual net business losses attributable to the Incident.

To receive payment for Actual Net Business Losses, you must provide federal income tax returns for 2022 and 2023.

Examples of other documentation to show substantiated actual net business losses attributable to the Incident include (but are not limited to): bank statements, sales tax returns, financial statements, employee time records, POS “zero sales” days, notices to customers, photos/video of closure signage, work orders/invoices for cleanup, and utility outage notices. “Self-prepared” documents are, by themselves, insufficient to receive reimbursement, but can be considered to clarify or support other submitted documentation.

If you have been reimbursed or received an offset or reduction from any source, including insurance or the City of Winston Salem, the reimbursement amount will be deducted from your award payment. For example, if you submit evidence of an actual net business loss of $25,000 as a result of the Incident and the City of Winston Salem had previously paid your business $15,000 for lost profits in the year following the Incident, the $15,000 prior payment would be subtracted from the $25,000 calculation for a payment of $10,000 under the Actual Net Business Loss claim.

Extraordinary Loss or Property Damage: In addition to the Flat Election Payment or the Actual Net Business Loss, you may also submit a Claim Form with supporting documentation showing repairs and/or replacement costs with strict itemization for losses reasonably linked to the Incident. If you also select the Flat Election Payment, your Extraordinary Loss or Property Damage claim will be capped at $25,000 per Business Class Member.

Examples of extraordinary loss, property or inventory damage include undelivered merchandise or warehoused items, cancellation of events or which you had been hired, or other such losses that caused business damages or other losses that are sufficiently different in degree from which most other Business Class Members experienced and are unique enough to merit special consideration.

You will only be reimbursed for Extraordinary Loss or Property Damage if:

  1. Such losses are reasonably linked to the Incident; and

  2. Supporting documentation shows repair and/or replacement costs with strict itemization.

Examples of documentation include (but are not limited to): bank statements, sales tax returns, financial statements, employee time records, POS “zero sales” days, notices to customers, photos/video of closure signage, work orders/invoices for cleanup, utility outage notices. “Self-prepared” documents such as handwritten receipts are, by themselves, insufficient to receive reimbursement, but can be considered to clarify or support other submitted documentation.

The Settlement Administrator will apply depreciation, betterment, and/or salvage adjustments plus landlord/tenant allocation where applicable.

If your claim for Extraordinary Loss or Property Damage is denied, your Claim Form will be processed as if you elected the Flat Election Payment and/or Actual Net Business Loss reimbursement.

You have the right to appeal the Settlement Administrator’s final determination of your Extraordinary Loss or Property Damage Claim. More information and instructions on how to submit an appeal can be found in the Appeals of Claim Determinations Supplement to the Winston Weaver Plan of Distribution found here.

For purposes of calculating payments, the Settlement Administrator must distribute the funds in the Settlement Fund for payment of administrative expenses, attorneys’ fees and costs, and any Class Representative Participation Awards approved by the Court.

Your payment may be subject to a pro rata (a legal term meaning equal share) decrease depending upon the total value of timely and valid Claim Forms.

To participate in this Settlement, your Claim Form must be completed to the best of your ability, signed, and then; (1) mailed and postmarked by July 15, 2026, OR (2) uploaded online following the instructions below by 11:59 p.m. Eastern Time, July 15, 2026.


File a Claim Online:

To submit an online Claim Form please enter your Unique ID and PIN below and select “Start Your Claim”

Si no cuenta con un ID o PIN único, por favor descargue un formulario de reclamación desde la página de Documentos.

File a Claim by Mail:

If you wish to submit a Claim Form via standard mail, you will need to provide all the information requested on the Claim Form, attach any supporting documentation, sign it, and date it. (If you did not receive a Claim Form or if you have lost yours, you may download a copy of the Claim Form here.)

Then, mail it to the following address:

Winston-Salem Business Settlement
Settlement Administrator
P.O. Box 3207
Portland, OR 97208-3207


Remember, all Claim Forms must be submitted online or postmarked no later than July 15, 2026.