Submit a Claim

Claim Form Login

If you received notice in or around November 2023 of a Data Breach involving Refresco Beverages US Inc. that occurred in March 2023, you may be entitled to Settlement Benefits. To receive Settlement Benefits, eligible Settlement Class Members must file a claim.

If you wish to receive Settlement Benefits, you must submit a Claim Form by December 4, 2025.

Eligible Settlement Class Members may submit a Claim Form for any or all of following Settlement Benefits:

Compensation for Attested Time Spent: Settlement Class Members may submit a claim to receive reimbursement for up to five (5) hours of time spent remedying issues related to the Incident at a rate of $20 per hour with an attestation that they spent the claimed time responding to issues raised by the Incident. Eligible activities include but are not limited to:

  • changing passwords on potentially impacted accounts;

  • monitoring for or investigating suspicious activity on potentially impacted medical, financial, or other accounts;

  • contacting a medical provider or financial institution to discuss suspicious activity;

  • signing up for identity theft or fraud monitoring; or

  • researching information about the Incident, its impact, or how to protect themselves from harm due to the Incident.

No additional documentation shall be required for members of the Settlement Class to receive compensation for attested time spent.

Compensation for Out-of-Pocket Expenses: Settlement Class Members may elect to recover Out-of-Pocket Expenses, up to $500.00, such as, but not limited to, the following:

  • the Out-of-Pocket expenses incurred as a result of the Incident, including unreimbursed bank fees (such as card replacement and over-limit fees), interest on short-term loans, long distance phone charges, cell phone charges (only if charged by the minute), data charges (only if charged based on the amount of data used), postage, or gasoline for local travel; or

  • the Out-of-pocket Expenses incurred for credit reports, credit freezes, credit monitoring, or other identity theft insurance product purchased after the Incident.

Compensation for Documented Extraordinary Losses: Settlement Class Members may submit a claim for a Settlement Payment of up to $5,000.00 for reimbursement in the form of a Documented Extraordinary Loss Payment that is beyond the Out-of-Pocket Expenses claimed above provided that:

  • the loss is an actual, documented, and unreimbursed monetary loss;

  • the loss was more likely than not caused by the Incident;

  • the loss occurred between March 2023 and the Claims Deadline;

  • the loss is not already covered by one or more of the normal reimbursement categories; and

  • the claimant made reasonable efforts to avoid the loss or seek reimbursement for the loss, including, but not limited to, exhaustion of all available credit monitoring insurance and identity theft insurance.

Extraordinary Losses may include, without limitation, the unreimbursed costs, expenses, losses or charges incurred as a result of identity theft or identity fraud, falsified tax returns, or other possible misuse of Private Information.

To receive reimbursement for Out-of-Pocket Expenses and Documented Extraordinary Losses, Settlement Class Members must submit supporting documentation of the loss and a description of how the loss is fairly traceable to the Incident

Please refer to the Long Form Notice or FAQs for more information on submitting a Claim Form and Settlement Benefits.

To start your online claim form, you can find your Notice ID & PIN printed on the Notice that was sent to you. If you misplaced your notice, please contact the Settlement Administrator at info@RefrescoDataBreach.com or (844) 496-0920. Please request your Notice ID & PIN by providing your full name and mailing address.

You may also download a Claim Form here, and submit it, along with your supporting documentation, by U.S. mail to:

Refresco Beverages Data Breach
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799

The deadline to submit a Claim Form online is December 4, 2025. If you are mailing your Claim Form, it must be mailed with a postmark date no later than December 4, 2025.