Claims Form definition

Claims Form means the electronic or paper claims form in English or in French that a Claimant must complete and submit before the Claims Filing Deadline to participate in the distribution of the aggregate damages and to have their individual issues determined in Brazeau, Reddock and Gallone.

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Claims Form means the official form approved by the Courts for use by the Settlement Class Members in making claims.

Claims Form means the document or online form, in the form attached as Exhibit D to this Settlement Agreement, that Settlement Class Members are required to file to receive a payment under this Settlement Agreement as specified in Paragraph 11.4 of this Settlement Agreement.

Examples of Claims Form in a sentence

• Upon payment for satisfactory completion of any portion of the services performed, the Contractor shall execute and deliver to the Department a release of all claims against the Department arising under, or by virtue of, the services, except claims which are specifically exempted by the Contractor to be set forth therein using Exhibit C, Contractor Affidavit/Release of Claims Form.

• By signing this Claims Form, Authorized Representative represents and warrants the following on behalf of the Settlement Class Member: · The Authorized Representative has authority to submit a claim and to release all Released Claims on behalf of the Settlement Class Member and all other Persons who are Releasing Persons by virtue of their relationship or association with the Settlement Class Member.

• Non-compliance with the above instructions will result in a delay of Claims Form processing and payment.

• If a Program Claimant is not represented by Counsel, such Claims Form (or Supplementary Claims Form) must be executed by the Program Claimant.

• Within 30 days of VDOC’s receipt of a completed Release of Claims Form from any of these individuals, VDOC will send to such individual, at the address provided by the United States, a check in an amount agreed to as directed by the United States, consistent with Paragraph 115.

More Definitions of Claims Form

Claims Form means the paper or online document, in the form attached as Exhibit A, that Class Members are required to use to make a claim and receive a payment under this Settlement Agreement as described in Paragraph 10.3 of this Settlement Agreement. The term “Claims Form” may refer to any of seven (7) separate forms: the Phase One Public Water System Settlement Claims Form; the Phase One Supplemental Fund Claims Form; the Phase One Special Needs Fund Claims Form; the Phase Two Testing Compensation Claims Form; the Phase Two Action Fund Claims Form; the Phase Two Supplemental Fund Claims Form; and the Phase Two Special Needs Fund Claims Form.

Claims Form means a claim form in the form of Exhibit 17.1.12.

Claims Form means the form entitled “ Claims Form” appended to this Distribution Plan;

Claims Form means the paper or online document, in a form substantially similar to the one attached as Exhibit B, that Class Members are required to use to receive a payment under this Settlement Agreement as described in Paragraph 11.3 of this Settlement Agreement and in the Allocation Procedures described in Exhibit A. The term “Claims Form” may refer to any of four (4) separate forms: the Action Fund Claims Form; the Supplemental Claims Form; the Special Needs Fund Claims Form; or the Interrelated Drinking Water System Claims Form addendum.

Claims Form means the electronic or paper claims form in English or in French that a Claimant must complete and submit before the Claims Filing Deadline to participate in the distribution of aggregate damages, and to be eligible to have their individual issues determined under Track 2 or Track 3.

Claims Form means the form entitled "Claims Form" appended to this Distribution and Notice Plan;

Claims Form means the form, when completed and submitted to the Claims Administrator on or before the Claims Deadline, constitutes a Class Member’s claim for compensation pursuant to the Settlement;