Completing Claim Forms Sample Clauses

Completing Claim Forms. Unknown Class Members shall have forty-five (45) days from the date of posting of the tear-away Summary In-Store Notices (“Claim Deadline”) to complete in full, sign and return to the Settlement Administrator a timely Claim Form substantially in the form of Exhibit G to this Agreement to be eligible to receive a Settlement Share. The date of the postmark on the return envelope shall be the exclusive means used to determine whether a Class Member has “timely” returned the Claim Form on or before the Claim Deadline. For purposes of this Settlement, a Claim Form shall be deemed valid only if: the Class Member has (a) provided all the requested information, including the last four digits of the credit card number previously used to purchase a product from Defendant, and (b) signed under the penalty of perjury and dated the Claim Form. If a Claim Form is timely returned to the Settlement Administrator but defective as to any of the above, the Class Member shall be given one opportunity to cure the defect(s). The Settlement Administrator shall mail a notice of deficiency with a copy of the defective Claim Form. The Class Member shall be given fourteen (14) days from the date the notice of deficiency was mailed to cure the defect(s) and return the corrected Claim Form to the Settlement Administrator. If the corrected Claim Form is not completely corrected and postmarked within the fourteen (14) day period, it shall be deemed untimely and rejected. An Unknown Class Member who does not file a timely Claim Form and does not file a timely Election Not to Participate in Settlement as set forth below in Section 4, shall not be eligible to receive a Settlement Share but shall be a Participating Class Member who is bound by all terms and conditions of the Settlement, if the Settlement is approved by the Court and by the Judgment.
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Completing Claim Forms. Members of the Settlement Class shall have sixty (60) days after the Initial Notice Date to complete and mail a physical Claim Form or submit an online Claim Form. Settlement Class Members must submit a Claim Form, under penalty of perjury, to receive any award under the Settlement, and such Claims must be approved as satisfying all requirements of this Settlement Agreement to be eligible to receive an award. Claim Forms may be submitted to the Settlement Administrator within the Claims Period by mail or through the Settlement Website, and shall require the signature (actual or electronic) of an authorized representative for the Settlement Class Member.

Related to Completing Claim Forms

  • Contractor Hearing Board 1. If there is evidence that the Contractor may be subject to debarment, the Department will notify the Contractor in writing of the evidence which is the basis for the proposed debarment and will advise the Contractor of the scheduled date for a debarment hearing before the Contractor Hearing Board.

  • Final Approval Hearing “Final Approval Hearing” shall mean the hearing at which the Court will consider and finally decide whether to enter the Final Judgment.

  • Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • Product Claims You acknowledge that Company, not an App Distributor, is responsible for addressing any claims of yours or any third party relating to the Company application or your possession and/or use of the Company application, including, but not limited to: (i) product liability claims; (ii) any claim that the Company application fails to conform to any applicable legal or regulatory requirement; and (iii) claims arising under consumer protection or similar legislation. (5)

  • Sending a Claim Notice Before beginning a lawsuit, mediation or arbitration, you and we agree to send a written notice (a claim notice) to each party against whom a claim is asserted, in order to provide an opportunity to resolve the claim informally or through mediation. Go to xxxxxxxxxxxxxxx.xxx/ claim for a sample claim notice. The claim notice must describe the claim and state the specific relief demanded. Notice to you may be provided by your billing statement or sent to your billing address. Notice to us must include your name, address and Account number and be sent to American Express ADR c/o CT Corporation System, 00 Xxxxxxx Xxxxxx, Xxx Xxxx, Xxx Xxxx 00000. If the claim proceeds to arbitration, the amount of any relief demanded in a claim notice will not be disclosed to the arbitrator until after the arbitrator rules.

  • Evidence Supporting Claim 1.1.1 When taking leave for personal illness or injury, the employee must, if required by the Company, establish by production of a medical certificate or statutory declaration, that the employee was unable to work because of injury or personal illness.

  • Submitting False Claims; Monetary Penalties Pursuant to San Francisco Administrative Code §21.35, any contractor, subcontractor or consultant who submits a false claim shall be liable to the City for the statutory penalties set forth in that section. A contractor, subcontractor or consultant will be deemed to have submitted a false claim to the City if the contractor, subcontractor or consultant: (a) knowingly presents or causes to be presented to an officer or employee of the City a false claim or request for payment or approval; (b) knowingly makes, uses, or causes to be made or used a false record or statement to get a false claim paid or approved by the City; (c) conspires to defraud the City by getting a false claim allowed or paid by the City; (d) knowingly makes, uses, or causes to be made or used a false record or statement to conceal, avoid, or decrease an obligation to pay or transmit money or property to the City; or

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