Submit a Claim Form Sample Clauses

Submit a Claim Form. If you submit a claim form and otherwise qualify, you will also be reimbursed for certain transmission replacements or repairs made to your Class Vehicle.
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Submit a Claim Form. To qualify for a cash payment, you must timely mail a Claim Form that is attached to this notice or complete and submit a Claim Form online at xxx.xxxxxxxxxxxx.xxx. Your Claim Form must be postmarked or submitted online no later than , 2024.
Submit a Claim Form. If you wish to participate in the Settlement and be eligible to receive benefits under the Settlement, you must fill out and submit a Claim Form by [INSERT DEADLINE DATE]. You can obtain a Claim Form by (1) Visiting the Settlement Website, [INSERT URL], where you can file your claim online or print a Claim Form to submit by mail; (2) Mailing a written request for a Claim Form to the Settlement Administrator: [INSERT ADDRESS]; or (3) E- mailing the Settlement Administrator at [INSERT EMAIL ADDRESS]. If you do not timely submit a valid Claim Form and do not exclude yourself from the Settlement, you will be bound by the Settlement but will not receive any benefits of the Settlement.
Submit a Claim Form. If you wish to receive your settlement payment, you must submit a claim form no later than [60 days from mailing]. CLICK HERE TO FILE CLAIM You may submit your Claim Form by visiting the Settlement Administrator’s website at xxx.xxxxxxxxxxxxxxxxx.xxx and clicking on “File a Claim” in the banner at the top of the webpage. You may also submit your Form to the Settlement Administrator via mail, email, or facsimile. The Settlement Administrator’s contact information is in Section 7 below (and is also available on the website, xxx.xxxxxxxxxxxxxxxxx.xxx/xxxxxxx. Your signed Form must be submitted electronically or by facsimile or postmarked by [60 days from mailing].
Submit a Claim Form. To qualify for Settlement compensation, you must timely mail a short Claim Form that is attached to this Notice (for a Cash Fund Payment), or full-length Claim Form (for a Cash Fund Payment and Out-of- Pocket Losses), or timely complete and submit a Claim Form online at xxx.xxxxxxxxxxxxxxxx.xxx. Your Claim Form must be postmarked or submitted online no later than the Claims Deadline of <<Claims Deadline>>.
Submit a Claim Form. If you are a member of the Settlement Class, you must submit a completed Claim Form to receive your choice of a Voucher Award or Cash Award. To do so, you must complete a Claim Form and submit it by [date]. You may obtain a Claim Form at [URL], and you may submit your Claim Form online at [URL], or to the Settlement Administrator by U.S. Mail at , postmarked by [date]. Submitting a valid and timely Claim Form is the only way to receive a benefit from this Settlement, and is the only thing you need to do to receive the elected Voucher Award or Cash Award. If the Court approves the Settlement and it becomes final and effective, and you have submitted a valid Claim Form, then you will receive your elected Award.
Submit a Claim Form. To get a cash payment, you must submit a Claim Form by MONTH, DAY, YEAR. You may submit a Claim Form by going to the Settlement Website at xxx.xxxxxxxxxxxxxxxxxxxxx.xxx and following the instructions. You may also request a paper copy of the Claim Form by calling the Settlement Administrator toll-free at 1-XXX-XXX-XXXX. MTANTE023
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Submit a Claim Form. To qualify for a Settlement Payment, you must submit a timely Claim Form either in hard copy that is attached to this notice or by completing a Claim Form online at xxx.XXXxxxxxxxxxx.xxx (“Settlement Website”). Your Claim Form must be postmarked or submitted online no later than [60 days from Notice Date].
Submit a Claim Form. To qualify for a cash payment you must timely mail a Claim Form that is attached to this Notice or timely complete and submit a Claim Form online at xxx.XXXxxxxxxxxxxxxxx.xxx (“Settlement Website”). Your Claim Form must be postmarked or submitted online no later than , 2023. Atticus Administration is the Settlement Administrator.
Submit a Claim Form. To qualify for a cash payment, you must timely mail a *** Please note that if you wish to submit a claim for compensation for out-of- Claim Form that is attached to this notice or timely complete and submit a Claim pocket expenses on the attached Claim Form, you will likely need to submit your postmarked or submitted online no later than , 2023. Postlethwaite Form online at xxx.xxxxxxxxxxxxxxxxx.xxx. Your Claim Form must be claim online so you may attach all information necessary to support your request & Xxxxxxxxxxx (“P&N”) is the Settlement Administrator. for payment. A longer version of the Claim Form may be accessed on the Opt-Out. You may exclude yourself from the Settlement and retain your ability Settlement Website. to sue MHS on your own by mailing a written request for exclusion to the Settlement Administrator that is postmarked no later than , 2023. If you do not exclude yourself, then you will be bound by the Settlement and give up your right to sue regarding the Released Claims.
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