Registration Form
All Settlement Class Members, whether a Retired NFL Football Player, a Representative Claimant, or a Derivative Claimant, must register to be eligible for benefits. Please complete this information to the best of your ability. If you need assistance call 1-855-887-3485.
EVERYONE MUST SELECT ONE OPTION BELOW
I am a Retired NFL Football Player.
I am a Representative Claimant. I have a legal right to act on behalf of a Retired NFL Football Player.
I am a Derivative Claimant. I have certain legal rights because of my relationship with a Retired NFL Football Player.
If you are a lawyer representing any of the above persons, click this box
   
1-855-887-3485
ClaimsAdministrator@NFLConcussionSettlement.com
P.O. Box 25369 Richmond, VA 23260