Submit a Claim Form for Payment. You may submit a Claim Form for payment of Vehicle Sales Tax. If you received a Notice in the mail, the Notice included a pre-filled Claim Form. You can submit a claim by signing the Claim Form, carefully tearing at the perforation, and putting the Claim Form in the mail (the Claim Form is addressed and has necessary postage prepaid). You can call 1-8XX-XXX-XXXX or visit xxx.xxx.xxx and request that the Settlement Administrator send you a Claim Form as described above (or a blank form that you will need to fill out). You can also submit an Electronic Claim Form by visiting xxx.xxx.xxx, clicking the MAKE A CLAIM button, and following the steps outlined for you. An email relating to the Settlement also has been sent to Settlement Class Members for whom State Auto has email addresses. The email has a link to permit you to access the website to make a claim using a Claimant ID Number contained in the email and the Mailed Notice. You can make a claim on xxx.xxx.xxx by clicking the MAKE A CLAIM button. You will need a Claimant ID Number (which was included in the Mailed Notice and Email Notice) or your last name and Policy number or claim number. If you do not know your Claimant ID Number, you can call 1-8XX-XXX- XXXX and provide your last name and seek assistance in determining your Claimant ID Number. You can also fill out the information in an electronic blank form. If you submit a Claim Form in the mail, it must be postmarked no later than . If you submit an Electronic Claim, you must do so by 11:59 p.m. on .
Submit a Claim Form for Payment. You may submit a Claim Form for payment of Sales Tax. Defendants have agreed to pay the full amount of Sales Tax owed per Settlement Class member who timely submits a Claim. If you received a Notice in the mail, the Notice included a pre-filled Claim Form. You can submit a claim by signing the Claim Form, carefully tearing at the perforation, and putting the Claim Form in the mail or you may upload the Claim Form and submit it online at xxx.xxxxxxxxxxxxxxxxxxxxx.xxx. You can visit xxx.xxxxxxxxxxxxxxxxxx.xxx and request that the Settlement Administrator send you a Claim Form as described above (or a blank form that you will need to fill out). You can also submit an Electronic Claim Form by visiting xxx.xxxxxxxxxxxxxxxxxxxxx.xxx, clicking the SUBMIT A CLAIM button, and following the steps outlined for you. You will need your last name and Policy number or claim number and upload your signed Claim Form. If you submit a Claim Form in the mail, it must be postmarked no later than . If you submit an electronic Claim, you must do so by 11:59 p.m. on .
Submit a Claim Form for Payment. You may submit a Claim Form for payment as described above. The payment is essentially the full amount sought in the case. If you received a Notice in the mail, the Notice included a pre- filled Claim Form. You can submit a claim by signing and filling out all requisite information on the Claim Form, carefully tearing at the perforation, and putting the Claim Form in the mail (the Claim Form is addressed and has necessary postage prepaid). You can visit xxx.XxxxXxxxxxxxxxxxxxxxxxxxxxxxx.xxx and request that the Settlement Administrator send you a Claim Form as described above (or a blank form that you will need to fill out). You can also submit an Electronic Claim Form by visiting xxx.XxxxXxxxxxxxxxxxxxxxxxxxxxxxx.xxx and following the steps outlined for you. If you submit a Claim Form in the mail, it must be postmarked no later than . If you submit an Electronic Claim, you must do so by 11:59 p.m. on . The ability to submit an Electronic Claim will be deactivated after the deadline.
Submit a Claim Form for Payment. 05414695.1 2 You may submit a Claim Form for payment as described above. The payment is essentially the full amount sought in the case. If you received a Notice in the mail, the Notice included a pre- filled Claim Form. You can submit a claim by signing and filling out all requisite information on the Claim Form, carefully tearing at the perforation, and putting the Claim Form in the mail (the Claim Form is addressed and has necessary postage prepaid). You can call 0-000-XXX-XXXX or visit xxx.XXXxxxxxxxxxxxxxxxxxxx.xxx and request that the Settlement Administrator send you a Claim Form as described above (or a blank form that you will need to fill out). You can also submit an Electronic Claim Form by visiting xxx.XXXxxxxxxxxxxxxxxxxxxx.xxx and following the steps outlined for you. If you submit a Claim Form in the mail, it must be postmarked no later than . If you submit an Electronic Claim, you must do so by 11:59 p.m. on . The ability to submit an Electronic Claim will be deactivated after the deadline.
Submit a Claim Form for Payment. You may submit a Claim Form for payment of TAVT. The maximum amount GEICO has agreed to pay for all Settlement Class Member Payment, Counsel Fees, Court-awarded costs, and Service Awards totals a maximum of $5,100,000.00. You can submit a claim by signing the Claim Form, which was mailed to you, carefully tearing at the perforation, and putting the Claim Form in the mail. You can call 0-000-XXX-XXXX or visit xxx.XXXX.xxx and request that the Settlement Administrator send you a Claim Form as described above (or a blank form that you will need to fill out).
Submit a Claim Form for Payment. You may submit a Claim Form for payment as described above. If you received a notice in the mail, the notice included a Claim Form. You can submit a claim by completely filling out and signing the Claim Form, carefully tearing at the perforation, and putting the Claim Form in the mail (the Claim Form is addressed and has necessary postage prepaid). You can call 1-800-XXX- XXXX or visit www. com and request that the Settlement Administrator send you a Claim Form that you will need to fill out completely and sign. If you submit a Claim Form in the mail, it must be postmarked no later than .
