Proof of Claim Form

Please select from the following:

 

• To Request a Proof of Claim Form, please write to Assisted Living Concept Securities Litigation, c/o The Garden City Group/Claims Administrator, P.O. Box 9414, Garden City, NY 11530-9414

To Download the KPMG Proof of Claim Form in PDF Format:

Adobe Acrobat Required. 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, please download the Free Adobe Acrobat Reader. If you do have Acrobat, download the KPMG Proof of Claim Form in PDF format. Once the document opens, go to the Print Command on the File Menu to print out the document