FCDG Data Settlement

 Notice and Claim Form

 Long Form Notice

 Claim Form

You can download the Claim Form using the link above and submit the claim to the Settlement Administrator by mail at the address below or complete the Claim Form online here.

First Choice Dental Data Security Incident
c/o RG/2 Claims Administration,
P.O. Box 59479
Philadelphia, PA 19102-9479

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