ENGLISH
FRANÇAIS
Home
Submit a Claim
Track a Claim
Rebate Forms
Contact
Claim Search
Email
OR
First Name
Last Name
Postal Code
Search
Export Results
Rows Returned: 0
Close
Denial Reason(s):
You may click the 'Re-Submit' button to submit a new claim that will be linked to this claim.
Re-Submit
Click on the 'Claim ID' to view the Claim Information.
Note: If your claim 'Status' is
'Denied'
you can click the 'Denied' link in the 'Status' column to view the denial reason(s).
Note: If your claim is in a status is
'Incomplete'
you can click on the
Claim ID
button and upload an image of your UPC code(s) cut from the original box(es) OR you can print your claim form and attach your UPC code(s) and mail to the address listed on the form.
Claim ID
Program
Name
First Name
Last Name
Address
Address Line 1
Address Line 2
City
State
Postal Code
Incentive
Status
Status
Date Submitted
What does your status mean?
In Process
-
Validating claim information
Printed by User
-
Waiting for rebate information in the mail
Incomplete
-
Submission is missing a valid UPC Code
Approved
-
In process of ordering rebate incentive
Denied
-
Submission is not valid for rebate incentive
Ordered
-
Rebate incentive has been placed
Shipped
-
Rebate incentive has been shipped
Validation
No Results
OK