To assist you in completing your Questionnaire and Release claim form, please note the following answers to some FAQs:

• The deadline to submit your Questionnaire and Release is 11:59 PM EST on November 23, 2026. 
• You do not need to complete your Questionnaire and Release in one session. The Questionnaire and Release may be downloaded from the Important Documents page in PDF format and you may work on the Questionnaire and Release at your own pace and once completed, you may upload the Questionnaire and Release and any supporting documentation.  
• Please enter your personal information and not that of your counsel, if any.
• It may be helpful to download and print the complete blank Questionnaire and Release before you start filling it out so you can have a point of reference for how the form is organized in its entirety.  
• The Fund Administrator is required to initiate certain searches related to potential medical liens held by Medicare, Medicaid, TRICARE, and the U.S. Department of Veterans Affairs. You will be asked to add your date of injury/illness and social security number and sign various documents to facilitate this process as part of the submission of your Questionnaire and Release. This is a mandatory part of the claim process.
• You will need to affix your digital signature in three places – at the end of the Questionnaire and Release (page 30), at the end of the Proof of Representation (page 32), and at the end of the Consent and Authorization for Use and Release of Information (page 33). These fields are in yellow to highlight them for you. Please type your signature in each place. In addition, you must specify the approximate month and year of injury/illness on the Proof of Representation form and the Consent and Authorization for Use and Release of Information. Please enter a date that approximates the date of the sexual misconduct and abuse and express the date as a month and year or month day and year.
• A successful submission of your Questionnaire and Release will generate a reference number. This reference number is unique to you and will be your login number if you want to add additional information or documentation to your claim file. The Fund Administrator, or her counsel, will contact you, or your counsel, via email to confirm receipt of your Questionnaire and Release, or to notify you if there are any deficiencies in your submission that require correction, within 15 days of receipt.
• You will be prompted to upload documents, if any, after you have uploaded the Questionnaire and Release. Please note the maximum size for upload is 50 megabytes per file, and larger documents must be broken down into smaller files before uploading. Supported file types are .xls, .xlsx, .doc, .docx, .ppt, .pptx, and .jpg.  
• If you need to amend your claim after it has been submitted or upload additional documentation, you may do so up until 11:59PM EST on November 23, 2026. This feature is available on the Upload Supporting Documentation page. You will be prompted for your reference number to continue. A successful upload generates a confirmation reference number. There is no limit to the number of times you may amend or supplement your claim before the deadline.
• If you have additional technical questions, please contact the Fund Administrator’s counsel, Elise Frejka at EFrejka@Frejka.com or (212) 641-0800.

1. Before you proceed to access the secure online Questionnaire and Release Form, please download and save a copy of the PDF Questionnaire and Release Form. An English-language version can be downloaded, here; A Russian-language version can be downloaded, here; and a French-language version can be downloaded, here.
2. On the copy of the Questionnaire and Release Form saved to your device, please review the entire Form. If you have any questions, the Fund Administrator can reached at claims@SDNYSettlementFund2026.com, or through her Counsel at EFrejka@Frejka.com. 
3. After you have reviewed the copy of the Questionnaire and Release Form saved to your device, please complete the entire form. You do not need to complete your Questionnaire and Release form in one session and may save your progress as your complete the Form. Your signature will need to be provided at the end of Section F and Section G. All requested signatures need to be provided to submit a valid, timely claim.
4. Once you have completed your signed and completed Questionnaire and Release Form, a copy of the Form may be submitted to the Fund Administrator online through the secure Submit Questionnaire and Release page on this website.
5. When you navigate to the Submit Questionnaire and Release page, please review all instructions and notices. When you are ready, please select the “Begin the Online Questionnaire and Release” link to access the secure online upload portal. 
6. When the secure online upload portal loads, you will encounter a landing page reminding you to submit your Questionnaire and Release, and any other supporting documentation, before November 23, 2026, 11:59PM EST. Please make note of this deadline. When you are ready, select the “Next” button at the bottom of screen. 
7. After you select the “Next,” the Document Upload screen will load. Here, you can select the “Choose File” button to locate the completed and signed copy of your Questionnaire and Release Form saved on your device. Once you have selected the Questionnaire and Release file, please select the green “Upload” button. The Document Upload screen will update to reflect your Questionnaire and Release Form has been queued. You may repeat this process any number of times as needed to queue all of your supporting documentation. 
8. Once all of your files have been queued, please select the green “Submit” at the bottom of your device’s screen. 
9. Upon successful submission, a Success Page will load, which includes a summary of all documents uploaded through the secure online upload portal and your Reference Number. Please make note of your Reference Number, as it assists the Fund Administrator in further communications about your Questionnaire and Release Form. If you have any questions, the Fund Administrator can reached at claims@SDNYSettlementFund2026.com, or through her Counsel at EFrejka@Frejka.com.