Common use of CLAIMANT INFORMATION Clause in Contracts

CLAIMANT INFORMATION. The Settlement Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of cash payments, you must notify the Settlement Administrator in writing at the address above. Claimant Name: Street Address: ___________________________________ ____________________________________ First Name MI Last Name Street Address Second Line: City: State: Zip Code: Class Member ID: If you received a notice of this Settlement by U.S. mail, your Class Member ID is on the envelope or postcard. If you received a notice of this Settlement by email, your Class Member ID is in the email. E-mail Address: [optional] Daytime Phone Number: ( _ _ _ ) _ _ _ - _ _ _ [optional] Evening Phone Number: ( _ _ ) _ _ - _ _ _

CLAIMANT INFORMATION. The Settlement Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of cash payments, you must notify the Settlement Administrator in writing at the address above. Claimant Name: Street Address: ___________________________________ ____________________________________ First Name MI Last Name Street Address Second Line: City: State: Zip Code: Class Member ID: If you received a notice of this Settlement by U.S. mail, your Class Member ID is on the envelope or postcard. If you received a notice of this Settlement by email, your Class Member ID is in the email. E-mail Address: [optional] Daytime Phone Number: ( _ _ _ ) _ _ _ - _ _ _ [optional] Evening Phone Number: ( _ _ ) _ _ - _ _ _)