App Store Settlement Claim Form

App Store Settlement Claim Form
Submit your settlement claim related to app store purchases. Please complete all fields accurately. This form is for individuals seeking claims regarding app store transactions.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
App Store Account Username or Email
Date of Purchase
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
App or Service Name Involved
Order or Transaction Reference Number
Amount Claimed (USD)
Brief Description of Claim
Should be Empty: