Claim Form Instructions

Under the proposed settlement, Honda will pay cash reimbursements for rear brake pad replacements (up to $125 for replacements using original Honda Rear Brake Pads, and up to $150 for a replacement using improved Honda Rear Brake Pads). To get paid, you have to do 4 things:

  • (1) Complete the Claim Form;

  • (2) Along with the Claim Form, enclose a receipt or repair order (or other documentation) for each Rear Brake Pad repair or replacement. The receipt, repair order or other documentation MUST show the part number of the brake pads used in the repair;

  • (3) On the Claim Form, sign and date at the bottom; and

  • (4) Timely Mail the Claim Form: Claims Forms must be mailed within 90 days of the Effective Date (see below) OR for new material rear brake pad replacements mailed within 90 days of the repair (if the repair is later than the Effective Date). Mail the form to:
Honda Rear Brake Pad Settlement Administrator
PO Box 2322
Faribault, MN 55021-9022

Additional Claim Forms are available on this website and at The Effective Date has yet to be determined, but the deadline to mail in a claim will be November 23, 2010 or later. Once the exact date is known, it will be posted on this website and at Your receipt (or other documentation) must show (1) the amount paid by you or on your behalf; (2) the date on which the repair was obtained (or the date the repair was paid for); (3) that rear brake parts were repaired and/or replaced; (4) the VIN of the vehicle repaired; and (5) the part number of the brake pads used in the repair. To ensure the validity of your Claim(s), it is best to submit your original repair receipts.


Please do not contact either Honda or the Court with questions about this Settlement. Any and all callers will be directed to this website. If you have questions, please refer to the FAQs and the other information posted here, visit, or contact the Settlement Administrator by calling 1-888-398-8211 or writing to Honda Rear Brake Pad Settlement Administrator, P.O. Box 2322, Faribault, MN 55021-9012.

This site is not operated by Honda. This class action settlement is supervised by the Court and is administered by an administration firm that handles all aspects of claims processing. Honda is not authorized to respond to questions from members of the plaintiff class regarding the settlement.

View our Privacy Statement