Extraordinary Losses. 12 FDIC ....................................................... 12 FHLMC ....................................................... 12
Extraordinary Losses. 13 FDIC. . . . . . . . . . . . . . . . . . . . . . . . . . . 13 FHLMC . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Extraordinary Losses. 15 FDIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 FHLMC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 FNMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Extraordinary Losses. If you suffered additional losses beyond the Ordinary Losses provided for above, you may also submit a claim for extraordinary losses, up to $7,500 for proven monetary losses. Extraordinary losses may be compensable if: (1) the loss is an actual, documented, and unreimbursed (except for the claimant’s insurer) monetary loss; (2) the loss was fairly and reasonably traceable to the Security Incident;
Extraordinary Losses. You may also seek reimbursement for up to $7,500 for proven Extraordinary Losses only if (i) the loss is an actual, documented, and unreimbursed (except from your insurer) monetary loss; (ii) fairly traceable to the Security Incident; (iii) the loss occurred between August 25, 2010 and the Claims Deadline; and (iv) the loss is not already covered by one or more of the normal reimbursement categories above (including the Out-of-Pocket Losses set forth above) and (v) the loss exceeds all available credit monitoring insurance and identity theft insurance previously provided to you by Dominion National. Please provide an itemized list of any Extraordinary Losses below, if you need additional lines, you may submit additional pages containing this information with your claim: / / $ . (mm/dd/yy) ⭘ Description of Supporting Documentation (Identify what you are attaching and why): ⭘ Description of Supporting Documentation (Identify what you are attaching and why): ⭘ Description of Supporting Documentation (Identify what you are attaching and why): ⭘ Amount of Loss Approximate Date of Loss Cost Type (mm/dd/yy) / / $ . (mm/dd/yy) / / $ . (mm/dd/yy) / / $ . Description of Supporting Documentation (Identify what you are attaching and why):
Extraordinary Losses. 13 FDIC .................................................................... 13 FHLMC ................................................................... 13 -iii- 5 TABLE OF CONTENTS (CONTINUED) PAGE FNMA .................................................................... 13
Extraordinary Losses. 13 FASIT 13 FDIC 13 FHLMC 13 Final Distribution Date.........................................13 Fitch 13 FNMA 14 Foreclosure Profits.............................................14
Extraordinary Losses. 12 FDIC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 FHLMC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 FNMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Extraordinary Losses. Settlement Class Members who submit a Valid Claim using this Claim Form and supporting documentation are eligible for reimbursement of up to $5,000.00 of extraordinary out-of-pocket expenses due to identity theft or other fraud resulting from the Data Incident, so long as you did not select the Alternative Cash Payment above.
