2015 Dunbar Main Break
Residential Claim Option

You or someone else in your
household should complete this form if:

Notice icon

You DID receive a
Notice in
the mail

of the class action settlement and the Household ("address") you lived in at any time between June 23, 2015, and July 1, 2015, is the address described in the notice as associated with your account for that time period (if different from the address where the Notice was mailed).

OR
No notice icon

You DID NOT
receive a
Notice in the mail

in the mail of the class action settlement, but the Household ("address") you lived in at any time between June 23, 2015, and July 1, 2015, was provided tap water service from West Virginia American Water and is located in the "Class Area" covered by the class action settlement depicted on the map located on the website.

AND
Simple claim icon

You are requesting
a simple claim
payment

on behalf of your household as explained below. The Simple Claim Option is explained in the Notice and in the FAQs on the website. The parties have estimated that each Household that submits a valid Simple Claim Form should receive $175 under the Simple Claim Form option.

File a Simple Claim Form

"With Evidence" Claims

If you have email, text, or social media messages from the period between June 23, 2015, and July 1, 2015, that refer to the loss of use of water or decrease in water pressure at your residence, or if you have receipts from the period between June 23, 2015, and July 1, 2015, for purchases of bottled water, meals at restaurants, ready-to-eat meals that do not require water for cooking, use of commercial laundry facilities, or hotels or other lodging that total more than $175, then you may want to submit a "With Evidence" Claim.

EXAMPLE 1

The Simple Claim Option is estimated
to pay $175 for the household.

If, however, you posted on Facebook or other social media in late June 2015 that you just got back from your mother's house where you had to go to bathe your children because your house had no water, you may be eligible for an estimated payment of $225 if you file a With Evidence Claim Form and submit the social media post.

EXAMPLE 2

The Simple Claim Option is estimated
to pay $175 for the household.

If, however, you have receipts for $400 for three nights at a hotel that you stayed at in late June 2015 because your residence was out of water, you may want to complete and return the With Evidence Claim Form instead.

File a "With Evidence" Claim Form
Questions

Questions? If you have questions about which claim form to file, contact the Settlement Administrator for assistance by calling 1-877-537-1084 or submitting a question via Contact Us.

Completing
This Form

File a Simple Claim Form

Only one Claim Form may be submitted for each Eligible Residential Location (in other words, only one Claim Form per "address"). Individual Household Residents should not submit separate claim forms for the Household. In most cases, it will be easier if the listed customer on the West Virginia American Water bill for the period around June 2015 submits the claim on behalf of the household. Another member may do so if the listed customer is unavailable, uninterested, or if the household's water service was paid for by a landlord and included in the rent.

You are encouraged to complete and submit this Claim Form online through the process described on this site. If you need to mail this Claim Form it must be received no later than August 22, 2025 ("the Claims Submission Deadline").

Mail the Claim Form to:
2015 Dunbar Main Break Class Action, P.O. Box 4227
Charleston, WV 25364

READ THE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM. THE INSTRUCTIONS CONTAIN IMPORTANT INFORMATION.

What Happens
After I Submit
This Claim Form?

For detailed information,
read the FAQs.

  • •

    Your Claim will be reviewed and verified by the Settlement Administrator. The Settlement Administrator is appointed by the Court and is responsible for carrying out all the functions necessary to review the claims promptly and fairly. The Settlement Administrator is responsible for confirming the eligibility of all claims and for auditing claim submissions as necessary.

  • •

    If your Household is an Eligible Residential Location (and you submit this Simple Claim Form as a Residential Household Claim), you may receive a payment for your Household. The payment amounts will be determined after all Claims have been submitted and reviewed by the Settlement Administrator.

  • •

    The parties have estimated that each Household that submits a valid Simple Claim Form should receive $175 under the Simple Claim Form option.

  • •

    For comparison, the parties have estimated that each Household that submits the "With Evidence" Claim Form and includes evidence in the form of a message at the time of the Dunbar Main Break should receive $225.

  • •

    Also, for comparison, the parties have estimated each Household that submits the "With Evidence" Claim Form and includes evidence in the form of receipts from the time of the Dunbar Main Break should receive the amount of the valid receipts but no more than $500.

  • •

    When will I receive payment? The Settlement Administrator will be able to distribute payments after the Court issues a final approval order – that is, an order approving the Settlement that has become final, including any appeals – and after the Settlement Administrator receives and reviews all the claims. If the parties all agree and can demonstrate to the Court that they agree to the distribution planning in all respects, the Court may decide to allow payments to some Class Members while appeals, if any, are pending. The Court has scheduled a final approval hearing on September 11, 2025.