• STEP 01Details
  • STEP 02Attach
  • STEP 03Confirmation


1. I AM REQUESTING REIMBURSEMENT FOR RENTAL CAR / TOWING / OTHER COSTS INCURRED FOR ENGINE STALLING, KNOCKING, ENGINE FAILURE, ENGINE FIRE, ILLUMINATION OF THE OIL LAMP, OR OTHER ENGINE SHORT BLOCK ASSEMBLY REPAIR. Please only select this option if you are requesting Reimbursement within 90 days of the date the expense was incurred or paid, whichever is later. If your costs were incurred or paid more than 90 days ago, your claim for this option will be denied. Please provide the total amount of rental car, towing, and/or other costs (including repossession or other financing-based damages) for which you are requesting reimbursement: $ Documentation: Enclose a receipt or document showing all of the below: - What was purchased (e.g., a rental car or towing service) - Date of purchase - Amount paid (e.g., credit card receipt, credit card statement, or bank statement) (If you paid in cash and have no receipt, your electronic signature on this Claim Form will constitute your attestation, under penalty of perjury, that you [or a friend or family member] paid for the repair in cash and do not have a receipt or documentation for the payment - The date and nature of the corresponding repair (not needed if the repair was performed at a Kia dealership) 2. I AM REQUESTING COMPENSATION FOR INCONVENIENCE DUE TO REPAIR DELAYS EXCEEDING 60 DAYS. Please only select this option if you are requesting reimbursement for repair delays that were completed within the last 90 days. If your repair was completed more than 90 days ago, your claim for this option will be denied. Please provide the total number of days it took to obtain any repairs done at an authorized Kia dealership: I AM REQUESTING A CASH PAYMENT. (If you had delays between 61 and 90 days, you will be entitled to $50, and an additional $25 for each additional 30-day period [or fraction thereof] of delay.) I AM REQUESTING A DEALER SERVICE CARD FOR 150% OF THE CASH PAYMENT I WOULD OTHERWISE BE ENTITLED TO FOR THIS BENEFIT. Documentation: Enclose documents supporting the number of delayed days (e.g., repair order identifying open and close date). 3. I AM REQUESTING REIMBURSEMENT FOR A CLASS VEHICLE THAT EXPERIENCED AN ENGINE FIRE. Please only select this option if you are requesting Reimbursement for Loss of Vehicle by Engine Fire and the engine fire occurred within the past 90 days. If you are submitting a claim for an engine compartment fire that occurred more than 90 days ago, your claim for this option will be denied. 4. I LOST FAITH IN MY VEHICLE UPON RECEIPT OF THE SETTLEMENT NOTICE, SOLD MY VEHICLE, AND PURCHASED A REPLACEMENT KIA VEHICLE. Please only select this option if you are requesting Reimbursement for Loss of Faith in your vehicle and, the engine fire or failure occurred within the past 90 days and, you have purchased a replacement Kia vehicle. If you are submitting a claim for an engine compartment fire or failure that occurred more than 90 days ago, your claim for this option will be denied. If you received any compensation for your vehicle after the engine fire (e.g. insurance payout), please provide the total amount you received: Please provide the total amount you received from selling or trading in your vehicle: Please provide the VIN of the Kia Vehicle you bought to replace your vehicle that experienced an engine failure or fire: - If you check this box, Kia will contact you about your request for compensation. - To potentially qualify for compensation, your vehicle must have experienced an engine fire as a result of an engine seizure, engine stall, engine noise, or illumination of the oil lamp due to a connecting rod bearing failure, or symptoms associated with connecting rod bearing failure, that resulted in your loss of the vehicle. - You must submit this Claim no later than 90 days after the engine compartment fire occurred. - You are eligible for payment by KUS of the maximum Black Book value (i.e., private party/very good) of the Class Vehicle at the time of loss minus actual value received (if any). - In addition to reimbursement for the vehicle, you are eligible to receive an additional $140 goodwill payment. If you have documents that you believe support your request for compensation, such as the repair facility diagnosis and paperwork showing what you received for your vehicle (if anything), providing those documents with this Claim Form may assist in the processing of your Claim. - If you check this box, Kia will contact you about your request for compensation. - To potentially qualify for this compensation, you must sell your vehicle in an arm’s length transaction and purchase another Kia vehicle. -To potentially qualify for compensation, your vehicle must have experienced an engine failure or an engine fire due to a connecting rod bearing failure or symptoms associated with connecting rod bearing failure. - You must submit this Claim within 90 days of the event. - If you choose this option, you are eligible for a rebate which shall be calculated as the actual loss by comparing sales documentation to the maximum Black Book value of the vehicle at the time of the Knock Sensor Detection System campaign launch. You may be entitled to payment up to the following amounts: a. For model year 2011-2012 Class Vehicles: $2,000 b. For model year 2013 and 2014 Class Vehicles: $1,500 c. For model year 2015 and 2016 Class Vehicles: $1,000 d. For model year 2017, 2018, and 2019 Class Vehicles: $500 - If you have documents that you believe support your request for compensation, such as the repair facility diagnosis, paperwork showing what you received for your vehicle’s sale or trade-in, and paperwork showing proof of purchase of another Kia vehicle, providing those documents with this Claim Form may assist in the processing of your Claim. VIN of Replacement Kia Vehicle: By checking this box, I certify that I paid in cash and have no receipt. I understand that my electronic signature on this Claim Form will constitute my attestation, under penality of perjury, that I(or a friend or family member) paid for the rental car, towing, and/or other costs in cash and do not have a receipt or documentation for the payment. To receive compensation for inconvenience due to repair delays, repairs must exceed 60 days. This vehicle is not eligible for the Theta II Class Action Settlement.If you have any questions please contact the Kia Customer Care Center (800-333-4KIA(4542)) This vehicle is eligible for the Theta II Class Action Settlement Please Enter valid Amount
/ConsumerAffairs/ 3420000 60 Do you want to clear all fields? Please enter @Field Name@. Please enter a valid phone number. Please enter a valid email address. Please specify whether this message concerns a Kia vehicle. Please specify whether this message concerns a Kia dealership. @VIN@ is invalid. Please verify again. An uploaded file already exists with the same name. Attachment file name must be unique. Do you want to delete the attachment? Please enter a description for the attachment. Do you want to submit your message? Do you want to submit your request? Unable to find the existing case. The provided information does not match for one or more fields. This case has already been closed and cannot be edited. Please call the Kia Customer Care Center (800-333-4KIA(4542)) for further assistance. Do you want to clear the note field? Do you want to update your message? Do you want to update your request? Uploading... Please wait. Upload failed. Please try again. @Field@ is too long: @Max@ chars max(count now @Length@) @Field@ is number only. Please enter a valid zipcode. This extension is not allowed. Please enter a note or file attachment. Please enter value greater than 0. A file must be attached for reimbursement requests. This vehicle does not have any Campaigns associated at this time. If you have any questions please contact the Kia Customer Care Center (800-333-4KIA(4542)) File size can not be exceed @SIZE@ A file name contain any of the following characters:<br><span style="font-weight: bold;color:red;">\ / : * ? " < > |<span> @VIN@ was already entered. Please enter another VIN. Please select a 'Tell us who you are' field. Do you want to send your request? Please select a delivery method. If you move to the previous page, your identity will need to be verified again. Do you want to proceed? Attachment must be one file. Please attach a attorney document. Based on the information you have provided, and after a reasonable search, we have not located any personal information associated with you.<br/> If you have any questions, you may call our Customer Assistance Center at 800-333-4KIA (4542) Pursuant to Cal. Civil Code Section 1798.140(g), you must be a California resident for you to submit a request on your behalf. Pursuant to Cal. Civil Code Section 1798.140(g), this person must be a California resident for you to submit a request on their behalf. Confirm Email does not match. Please enter a valid Email address. Please wait for a minute before sending another code. Our record indicates that you have submitted a @RequestType@. Your request is still in progress. We will respond to your request within @days@ days from the day we received your request. Your request has been completed and the following link has been generated for you to access the information.<br /><br /><a href="@url@" target="_blank">Click here to download.</a> Your request has been completed and you have opted out from future sales of your personal information by Kia America. We have also notified all third parties to whom we have sold your personal information within the 90 days prior to your request, if any, not to further sell your information. Your request has been completed in accordance with the California Consumer Privacy Act and your personal information has now either been <br />(1) permanently and completely erased on our existing systems (with the exception of archived or back-up systems; <br />(2) de-identified; or <br />(3) aggregated. We will maintain a record of your request pursuant to Civil Code section 1798.105(d). Your request has been rejected. In accordance with the California Consumer Privacy Act, subject to certain exceptions, California consumers have the right to opt-out of the sale of their personal information, the right to request access to the categories and specific pieces of personal information collected about them, and the right to request deletion of their personal information. To exercise your rights, please click the above link and follow the instructions on this website or call us at the toll-free phone number below. <b>In accordance with the California Consumer Privacy Act (“CCPA”), eligible California residents have several rights with regard to personal information that is collected by businesses.<br/>If you are an eligible California resident, you have the following rights, subject to certain exceptions:</b><br/><br/> (1) Right to Opt-Out of Sale: If Kia sells personal information about you to third parties, you have the right, at any time, to request that Kia not sell your personal information. <br/><br/> (2) Right to Know: You have the right to request disclosure of the categories of personal information and specific pieces of personal information that Kia has collected about you over the last 12 months. In response to requests for the categories, we will provide the categories of personal information, the categories of sources from which we collected the personal information, our business or commercial purpose for collecting the personal information, the categories of third parties to whom we sold or disclosed the categories of personal information for a business purpose, and the business or commercial purpose for which we sold or disclosed the category of personal information. You may also request that we disclose the specific pieces of personal information we have collected about you. <br/><br/> (3) Right to Delete: You have the right to request that Kia delete any personal information about you that Kia has collected. Kia may decline to delete certain types of personal information about you in accordance with the law. Please see Kia's <a href='https://www.kia.com/us/en/privacy' target='_blank'>Privacy Policy</a> for more details.<br/><br/> Kia will need to verify your identity before processing your requests to exercise the above rights. Further details on how to make requests and the identity verification process can be found in Kia's <a href='https://www.kia.com/us/en/privacy' target='_blank'>Privacy Policy</a>. Information provided with your request will only be used to process your request or as otherwise permitted under the CCPA. If you have visited our websites, we may have collected information about the device you used to engage with our websites. Such information may not be tied to other personal information (such as your name, postal address, email address, etc.) that Kia holds about you, and we therefore may not be able to associate the information with you. You may exercise your privacy rights for device-level data by engaging with the consent management platform displayed when you enter our websites. You can submit only 2 requests for access to data in 12 months. For more information on your rights, see our <a href="https://www.kia.com/us/en/privacy" target="_blank" style="color: #bc162c; text-decoration: underline;">Privacy Policy</a> <div class="jqDialogAlert_wrap_left">Due to inactivity, your screen has timed out.<br />To safeguard against fraudulent requests, we are unable to comply with your request.<br />If you have any questions, you may call our Customer Assistance Center at 800-333-4KIA (4542).<br />For information on our general business practices regarding the collection, maintenance, and sale of personal information, please see our <a href='https://www.kia.com/us/en/privacy' target='_blank'>Privacy Policy</a><br/><br/> Would you like to opt-out of the sale of your personal information? See our <a href='https://www.kia.com/us/en/privacy' target='_blank'>Privacy Policy</a> for more information or click <a href='https://ksupport.kiausa.com/ConsumerAffairs/PrivacyManagement' target='_blank'>here</a> to return to the homepage.</div> An error has occurred while processing your request. Please contact the Kia Customer Care Center (800-333-4KIA(4542)) Your session has timed out. Please try again and call the Kia Customer Care Center (800-333-4KIA(4542)) if the error persists. Session Timeout Warning For the security reasons your session is timed-out. You will be logged out in