Confirm Your Eligibility. Did you receive a Class Member ID indicating that you may be a member of the Class? ☐ Yes ☐ No If yes, continue to the next question. If no, you are not a member of the Class and do not qualify to file a claim. Did you suffer any financial expenses or other financial losses that you believe were incurred as a result of the Data Breach or did you spend time remedying issues related to the Data Breach? For example, did you sign up and pay for a credit monitoring service, hire and pay for a professional service to remedy identity theft, etc., or did you spend time monitoring credit, resolving disputes for unauthorized transactions, freezing or unfreezing your credit, remedying a falsified tax return, etc. related to the Data Breach? ☐ Yes ☐No If yes, you may be eligible to fill out Section B of this form and provide corroborating documentation.
Confirm Your Eligibility. Did you receive a unique Claim Number indicating that you may be a member of the Settlement Class? ☐ Yes ☐ No If yes, continue to the next question. If no, you are not a member of the Settlement Class and do not qualify to file a Claim. Did you suffer any financial expenses or other financial losses that you believe was as a result of the Data Breach? For example, did you sign up and pay for a credit monitoring service, hire and pay for a professional service to remedy identity theft, etc. as a direct result of or attributed to the Data Breach? ☐ Yes ☐ No If yes, you may be eligible to fill out Section C of this form and provide corroborating documentation. If no, you may not be eligible to submit a claim for “out-of-pocket” losses but may still be eligible to fill out Section B of this form for a Statutory Claim.
Confirm Your Eligibility. Did you receive a unique Claim Number indicating that you may be a member of the Settlement Class? ☐ Yes ☐ No If yes, continue to the next question. If no, you are not a member of the Settlement Class and do not qualify to file a Claim. Did you suffer any financial expenses or other financial losses as a result of the Data Breach? For example, did you sign up and pay for a credit monitoring service, hire and pay for a professional service to remedy identity theft, etc. attributed to the Data Breach? ☐ Yes ☐ No If yes, you may be eligible to fill out Section B of this form and provide corroborating documentation.
Confirm Your Eligibility. Did you receive a unique Claim Number indicating that you may be a member of the Settlement Class? □ Yes □ No If yes, continue to the next question. If no, you are not a member of the Settlement Class and do not qualify to file a Claim.
