CLAIM FORM

TO RECOVER AS PART OF THIS SETTLEMENT, YOU MUST, PROVIDE THE INFORMATION REQUESTED IN THIS CLAIM FORM.

You agree that clicking the “Submit” button, located on the following page, shall constitute your signature and acknowledgement of the terms of this Claim Form. Please note that if you are a Class Member, the Class Member Verification section, located on the following page, requires you to state, under penalty of perjury, that all information contained therein is true and correct. This Claim Form may be researched and verified by the Settlement Administrator.


You must complete and submit this Claim Form no later than July 27, 2020.

General Information


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