Schmidt, et al., v. Jaguar Land Rover North America, LLC

STEP ONE: Are you the current or former owner or lessee of a Model Year 2012, 2013, or 2014, Land Rover LR4 and/or Range Rover Sport vehicle (“Class Vehicle”) and were you the registered owner and/or lessee on or before August 6, 2021, and was such registration in one of the 50 states of the United States or the District of Columbia?

If YES, go to STEP TWO. If NO, you are not eligible to receive reimbursement under this Settlement.

STEP TWO: Did you first purchase or lease a Class Vehicle less than nine (9) years after such Class Vehicle was registered for the first time (for example, was the Class Vehicle less than 9 years old when you first purchased it)?

If YES, go to STEP THREE. If NO, you are not eligible to receive reimbursement under this Settlement.

STEP THREE: Did you incur out-of-pocket costs, for which you are now seeking reimbursement, for repairing or replacing (1) the timing chain and/or timing chain tensioner or (2) the engine as a result of a timing chain and/or timing chain tensioner failure in a Class Vehicle? (Note: “out-of-pocket costs” means the total out-of-pocket costs incurred and paid by you after subtracting any reimbursement (including, without limitation, any goodwill reimbursement) received, from whatever source, for the incurred costs.)

If YES, go to STEP FOUR. If NO, you are not eligible to receive reimbursement under this Settlement.

STEP FOUR: At the time the timing chain, timing chain tensioner and/or engine was repaired or replaced, had the Class Vehicle been in service for less than eight (8) years and had it been driven for a total of less than 100,000 miles as shown on the odometer?

If YES, go to STEP FIVE. If NO, you are not eligible to receive reimbursement under this Settlement.

STEP FIVE: With respect to the repairs or replacements for which you are now seeking reimbursement, do you have copies of repair order(s), invoice(s), and/or other service record(s) (“Service Records”) showing: (1) the date on which the diagnosis or repair or replacement occurred and the Class Vehicle mileage at the time of such diagnosis or repair or replacement; (2) the amount of the out-of-pocket costs you incurred due to the timing chain, timing chain tensioner, and/or engine repair or replacement (estimates and unpaid invoices are NOT sufficient to demonstrate out-of-pocket costs); (3) proof of payment (e.g., invoice from repair facility showing payment was made) of the claimed out-of-pocket costs (estimates and unpaid invoices are NOT sufficient to demonstrate proof of payment); (4) proof that you were the owner or lessee of the Class Vehicle at the time of the repair or replacement for which reimbursement is claimed (ownership or lesseeship can be established by a copy of your vehicle registration, vehicle title or proof of vehicle insurance); and (5) if you are seeking reimbursement for the repair or replacement of an engine, proof that such engine repair or replacement was necessary due to a timing chain and/or timing chain tensioner failure (in the absence of documents to the contrary, this fifth requirement will be presumed satisfied if an engine repair or replacement was performed contemporaneously with the repair or replacement of a timing chain and/or timing chain tensioner)?

If YES, attach copies of these records to this completed Claim Form and go to STEP SIX. If NO, you are not eligible to receive reimbursement under this Settlement.

STEP SIX: Do you have copies of records showing your adherence to the maintenance schedule set forth in the Class Vehicle’s Passport to Service for oil and oil filter changes, up to the date/mileage of the qualifying repair or replacement, within a variance of two (2) months and one thousand five hundred (1,500) miles of the scheduled time/mileage requirements?

If YES, attach copies of these records to this completed Claim Form and go to STEP EIGHT. If NO, go to STEP SEVEN.

STEP SEVEN: If you do not have and have been unable to obtain the maintenance records described in STEP SIX above after a good faith effort, please (i) print the name, address and contact information of the authorized Land Rover retailer or Independent Repair Facility where scheduled maintenance on your Class Vehicle was performed and (ii) describe the efforts that were made to obtain the maintenance records and why such records remain unavailable:

In addition, if the statement below is accurate and you are willing to declare its accuracy under penalty of perjury, sign your name on the line below. If (1) you did not provide either the maintenance records or the description requested above in STEP SEVEN, (2) either any description above or the statement below is not accurate, or (3) you do not sign your name on the line below, then you are not eligible to receive reimbursement under this Settlement.

I do hereby attest, under penalty of perjury, that I adhered to the maintenance schedule as set forth in the Class Vehicle’s Passport to Service, within a variance of two (2) months and one thousand five hundred (1,500) miles of the scheduled time/mileage requirements.

Go to STEP EIGHT.

STEP EIGHT: If the statement below is accurate and you are willing to declare its accuracy under penalty of perjury, sign your name on the line below. If (1) the statement below is not accurate or (2) you do not sign your name on the line below, then you are not eligible to receive reimbursement under the Settlement.

I do hereby attest, under penalty of perjury, that I am not aware of information that indicates that the repair or replacement for which I am claiming reimbursement was required because of collision, accident, vandalism, failure to adhere to the applicable maintenance schedule, or customer abuse.

Go to STEP NINE.

STEP NINE: Do the Service Records or other documents referring to the Class Vehicle indicate that the timing chain, timing chain tensioner, or engine that required a repair or replacement was not the original equipment (i.e., equipment installed in a new Class Vehicle at the factory)?

If YES, you are not eligible to receive reimbursement under the Settlement. If NO, go to STEP TEN.

STEP TEN: If the statement below is accurate and you are willing to declare its accuracy under penalty of perjury, sign your name on the line below. If (1) the statement below is not accurate or (2) you do not sign your name on the line below, then you are not eligible to receive reimbursement under the Settlement.

I do hereby attest, under penalty of perjury, that I am not aware of information that indicates that the repaired or replaced timing chain, timing chain tensioner, or engine was not one of the original equipment installed (i.e., equipment installed in a new Class Vehicle at the factory).

Go to STEP ELEVEN.

STEP ELEVEN: Type or neatly print the information below, date and sign below, and attach legible copies of any Service Records or other documents you rely on to support your claim.

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I hereby attest, under penalty of perjury that, to the best of my knowledge, all information provided in and attached to this Claim Form is true and correct.