Settlement Claim Form. The Long Form Notice and Settlement website shall include the Settlement Claim Form, which shall be in a form substantially similar to the document attached to this Agreement as Exhibit 9, and which shall inform the Class Member that he, she or it must fully complete and timely return the Settlement Claim Form within the Settlement Claim Period to be eligible to obtain a payment pursuant to this Agreement.
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a cash payment, your completed Claim Form must be postmarked on or before [ ], or submitted online
Settlement Claim Form. The Court approves the Claim Form without material alteration from Exhibit B to the Settlement Agreement for distribution to Settlement Class Members pursuant to the Settlement Agreement. The Court directs that the Claim Form be distributed with the Direct Mail Notice. To be considered for possible payment under the Settlement Agreement, Claim Forms must be postmarked or submitted on the Settlement Website by no later than , 2020. A Claim Form submitted on the Settlement Website or postmarked after this date shall be untimely and invalid. Claim Forms must contain the information and comply with the requirements set forth in the Settlement Agreement.
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a payment, your completed Claim Form must be postmarked on or before [ ], or submitted online on or before [ ]. Please read the full notice of this settlement (available at www.[ ].com) carefully before filling out this Claim Form. To be eligible to receive any benefits from the settlement obtained in this class action lawsuit, you must submit this completed Claim Form online or by mail: ONLINE: Submit this Claim Form. Provide your name and contact information below. It is your responsibility to notify the Settlement Administrator of any changes to your contact information after the submission of your Claim Form. To qualify for a cash payment, you must have, between January 18, 2021 and [Preliminary Approval Date], had either a subscription to the Tampa Bay Times with activated digital access, or a newsletter subscription to the Tampa Bay Times, and viewed videos on the Tampa Bay Times website. You must also have had a Facebook account during this time.
Settlement Claim Form. To Make a Claim for Compensation Under the Settlement, You Must Provide All Requested Information and Sign and Mail this Claim Form, Postmarked On or Before , to the Settlement Administrator at Banco Popular Overdraft Settlement c/o A.B. Data, Ltd. X.X. Xxx 000000 Xxxxxxxxx, XX 00000 BARCODE Claim #: ABC-1234567-8 Enter Any Name/Address Changes: Name on Popular Account (if different from current name) As described in the Notice included with this Claim Form, and in other Notices included on the settlement website, Plaintiffs allege that Popular engaged in three
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a cash payment or a voucher, your completed Claim Form must be postmarked on or before [ ], or submitted online FIRST NAME LAST NAME CITY STATE ZIP CODE
