ELIGIBILITY AND INSTRUCTIONS

Please read the Class Notice regarding the Settlement carefully before filling out the Claim Form. Terms in the Claim Form are defined in the Class Notice and the Settlement Agreement.

If you purchased or leased, new or used, one of the following vehicles and you experienced a Reimbursable Deployment while owning or leasing such a vehicle and your vehicle is identified by VIN (see VIN Lookup), you may be entitled to compensation if you complete and submit the Claim Form in a timely manner: (1) a 2003 Honda Accord Sedan or Coupe with Side Airbags; (2) a 2004 Accord Sedan with Side Airbags manufactured before April 8, 2004; (3) a 2004 Accord Coupe with Side Airbags; or (4) a 2008 Accord Sedan manufactured before June 12, 2008. For a full description of the benefits available under the Settlement and eligibility to claim them, please see Paragraphs 4 and 6 of the Class Notice.

All persons who are members of the Settlement Class and who do not timely request exclusion from the Settlement Class are bound by the terms of the judgment entered by the Court and release their claims against American Honda Motor Co., Inc. (“AHM”) described in the Class Notice and Settlement Agreement whether or not they submit a Claim Form.

TO CLAIM BENEFITS

The benefit to which you may entitled under the Settlement depends upon whether your Side Airbag has been previously repaired or replaced.

1. IF YOU EXPERIENCED A REIMBURSABLE DEPLOYMENT BUT YOUR SIDE AIRBAG HAS NOT BEEN REPAIRED OR REPLACED
   If you experienced a Reimbursable Deployment of a Side Airbag and the Side Airbag has not been repaired or replaced, you are eligible to have AHM repair or replace (at its election) your Side Airbag free of charge. In order to obtain this benefit, you must:
    
• Fill out the Settlement Class Information;
• Sign the Verification at the end of the Claim Form;
• Return this completed Claim Form, by mail, no later than September 2, 2014; and
• Take your vehicle to an Authorized Honda Dealer in accordance with the instructions in the written acknowledgment of your claim that you will receive from AHM.
  
  
2. IF YOU EXPERIENCED A REIMBURSABLE DEPLOYMENT AND INCURRED EXPENSES TO REPAIR OR REPLACE YOUR SIDE AIRBAG
   If you experienced a Reimbursable Deployment of a Side Airbag and incurred out-of-pocket expenses to have your vehicle’s Side Airbag repaired or replaced, pursuant to the Settlement, you are eligible for reimbursement of the out-of-pocket expenses that you incurred to replace or repair your vehicle’s Side Airbag. In order to obtain this benefit, you must:
    
   • Fill out the Settlement Class Information;
   • Sign the Verification at the end of the Claim Form;
   • Submit documentation (in the form of receipts, work orders, repair orders or the like) providing proof of the amount of out-of-pocket expenses claimed, the work performed on your vehicle and who performed that work;
   • Submit documentation of any prior reimbursements or deductions from the out-of-pocket expenses claimed, including but not limited to any amounts paid by insurance, discounts given by the person who performed the work on your vehicle or "goodwill" or other credits from AHM or others; and
   • Return the completed Claim Form, by mail, no later than September 2, 2014.

NOTE:  If there is evidence that abuse or misuse of your vehicle caused the Side Airbag to deploy or that the vehicle otherwise did not experience a Reimbursable Deployment, AHM reserves the right to deny reimbursement, repair or replacement. The process for addressing any disputes regarding the denial of reimbursement, repair or replacement is described in Section IV, Paragraph 3 of the Settlement Agreement.

Please mail your completed claim form, along with your supporting documentation (if required), so that it is postmarked no later than September 2, 2014 to:

SIDE AIRBAG SETTLEMENT
c/o Class Administrator
P.O. Box 2718
Torrance, CA 90509