Halliburton Energy Services, Inc./Transocean Punitive Damages & Assigned Claims Settlements

Administrative Forms

  • Authorization for Release of Claims Information — Use this form if you wish to consent to the release of your claims information and documents to a third party.
  • Legal Representative Certification — Use this form if you wish to submit a claim or receive information on behalf of a claimant who is deceased, a minor, or incompetent.
  • Parcel Eligibility Determination — Use this form if you disagree with the Coastal or Wetlands Real Property Claim Zone Map and think your Parcel or Boat Slip should be included as an eligible parcel on the Map.
  • Form W-9 — Claimants are required to provide a completed Form W-9 in order to receive payment.

The documents above are in PDF format. Acrobat Reader is required to view the PDF. You may already have the Adobe Acrobat Reader on your computer or on disks that came with your computer. If you do, you won't need to download Adobe Acrobat. If you do not have Acrobat, you may download the Free Adobe Acrobat Reader.

To request that a form be mailed to you, please call the helpline at 1(877) 940-7792, or send an email to questions@GulfSpillPunitiveDamagesSettlement.com. You may submit your completed and signed form in one of three ways:

By Mail:

HESI/Transocean Punitive Damages & Assigned Claims Settlements
PO Box 10260
Dublin, OH 43017-5760

By Overnight, Certified or Registered Mail:

HESI/Transocean Punitive Damages & Assigned Claims Settlements
c/o Administrator
5151 Blazer Parkway Suite A
Dublin, OH 43017

By Email::

questions@GulfSpillPunitiveDamagesSettlement.com