If submitted electronically using the interface above, additional hard-copy submission is not necessary. Please note that submission of claim forms via email and/or facsimile transmission is not permitted.
Mallinckrodt Third-Party Payor Trust
Submit a Claim
IN THIS CASE, PROOFS OF CLAIM MAY BE FILED EITHER ELECTRONICALLY VIA THIS WEBSITE OR BY HARD COPY PRIOR TO THE BAR DATE WHICH IS THE DEADLINE ESTABLISHED BY THE BANKRUPTCY COURT.
To file a proof of claim electronically, please enter the creditor’s name and an email address (where filing confirmation will be sent) in the fields below. Please note that supporting documentation is limited to a single PDF attachment that is less than 5 megabytes in size and under 100 pages
FILE A CLAIM ELECTRONICALLY
FILE A CLAIM VIA MAIL OR HAND
Completed hard copy proof of claim forms should be sent to the following address:
Mallinckrodt/TPP Opioid Claims Processing Center
c/o Kroll Restructuring Administration LLC
850 3rd Avenue, Suite 412
Brooklyn, NY 11232
Please click here to download the Proof of Claim form. Please file proof(s) of claim via US Mail or other hand delivery system. Submission of claim forms via email and/or facsimile transmission is not permitted. You must file an originally executed proof of claim. If you would like a copy of your claim returned to you as proof of receipt, please enclose an additional copy and a self-addressed postage-paid envelope. If your claim is being delivered by hand, please email MallinckrodtTPPtrust@ra.kroll.com at least one business day in advance to arrange delivery.
Privacy of Information Collected
The information requested on the TPP Abatement Claim form is being collected for the purposes of facilitating the processing of Third Party Payor Opioid Claims against the Debtors. Under the plan, such claims are channeled to and administered by the TPP Trust. Your claim form must not contain medical records, complete social security numbers or tax identification numbers (only provide the last four digits), a complete birth date (only provide the year), the name of a minor (only provide the minor's initials) or a financial account number (only provide the last four digits of any financial account).
PLEASE REVIEW YOUR TPP ABATEMENT CLAIM AND ANY SUPPORTING DOCUMENTS AND REDACT ACCORDINGLY PRIOR TO UPLOADING THEM.
The information you provide on the TPP Abatement Claim form will be retained by or on behalf of the Bankruptcy Court, the Mallinckrodt TPP Trust and Kroll Restructuring Administration (formerly known as Prime Clerk) for as long as necessary for the purposes described above, as needed to resolve disputes or protect legal rights as they relate to such claim, or as otherwise required by law. Some of the information you provide on the claim form will be displayed and/or accessible on the TPP Trust's password protected website hosted by Kroll Restructuring Administration. Additionally, such information may be shared with certain third parties affiliated with this matter in furtherance of the purposes of the TPP Trust and the Plan. Although you may have certain rights relating to the information provided on the claim form under certain laws, applicable law or court order may prohibit the amendment or erasure of such information once it is submitted, including information displayed and/or accessible at the TPP Trust website.