Claim Form Requirements Sample Clauses

Claim Form Requirements. The Notice shall include instructions on how to submit a valid and timely Claim Form. The Notice shall notify Class Members that in order for the Claim Form to be valid, it must include the employee’s name, last four digits of their social security number and be signed, dated and submitted no later than the Claim Deadline or fifteen (15) days after the date of a second mailing to be eligible to receive any Settlement Award.

Claim Form Requirements. The Settlement Administrator shall validate that all sections of the Claim Form are complete and that the Settlement Class Member provided and certified the truth and accuracy of the following information under the penalty of perjury, including by signing the Claim Form physically or by e-signature, or the Claim will not be considered a Valid Claim by the Settlement Administrator. The absence of any of the following information, or the provision of incorrect information, will result in the rejection of the Claim: (a) The Settlement Class Member’s name and mailing address; (b) The Settlement Class Member’s email address (unless the Settlement Class Member requests a claim form by mail, in which case an email address is optional); (c) The name of the Product(s) purchased, the store name where the Product(s) were purchased, and the number of Units purchased during the Class Period; (d) For Proof Claims, valid Proof of Purchase(s); (e) That the claimed purchases were not made for purposes of resale; (f) The payment preference of the Settlement Class Member (i.e., via check or electronic payment); and (g) A security code or control number provided by the Settlement Administrator at the time the Class Member requests a Claim Form on the Settlement Website (if the Settlement Class Member requests a Claim Form by mail).