Compliance Dispute Claim Form. Before the Compliance Dispute Facilitator may consider a Compliance Dispute, a Petitioner must submit a properly completed Compliance Dispute Claim Form, attached hereto as Exhibit C and approved by the Court, to the Compliance Dispute Facilitator, who shall promptly provide a copy of such Compliance Dispute Form to Company The Compliance Dispute Claim Form may include supporting documentation or affidavit testimony. The Compliance Dispute Claim Form attached hereto as Exhibit C shall be made available by the Compliance Dispute Facilitator to Class Members upon request.
Appears in 2 contracts
Samples: Settlement Agreement, Settlement Agreement (Wellpoint Inc)
Compliance Dispute Claim Form. Before the Compliance Dispute Facilitator may consider a Compliance Dispute, a Petitioner must submit a properly completed Compliance Dispute Claim Form, attached hereto as Exhibit C and approved by the Court, to the Compliance Dispute Facilitator, who shall promptly provide a copy of such Compliance Dispute Form to Company . The Compliance Dispute Claim Form may include supporting documentation or affidavit testimony. The Compliance Dispute Claim Form attached hereto as Exhibit C shall be made available by the Compliance Dispute Facilitator to Class Members upon request.
Appears in 2 contracts
Samples: Settlement Agreement, Settlement Agreement