Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I had a residential Waste Management account with a New York mailing address between September 27, 2016 and [DATE OF THE PRELIMINARY APPROVAL ORDER], and was charged and paid an Administrative Charge(s). □ I have not filed for an Opt-Out or to be excluded from this Settlement. □ I have not submitted any other Claim for the same account and have not authorized any other person or entity to do so, and know of no other person or entity having done so on my behalf. If I maintained account(s) jointly with any other person or entity, only one Claim has or will be submitted per account. □ Under penalty of perjury, all information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / / Print Name: Before you complete and submit this Claim Form by mail or online, you should read and be familiar with the information contained in this notice and available at [SETTLEMENT WEBSITE]. The Settlement Administrator will review your Claim Form; you may be required to submit additional documentation to validate your claim. If accepted, you will be mailed a check for a pro rata share of the Settlement Fund depending on the total amount of service charges you paid via your Waste Management account. This process takes time. Please be patient. Questions, visit [SETTLEMENT WEBSITE] or call [toll free number] COURT AUTHORIZED NOTICE OF CLASS ACTION AND PROPOSED SETTLEMENT Waste Management Settlement Settlement Administrator P.O. Box 0000 City, ST 00000-0000 OUR RECORDS INDICATE YOU WERE CHARGED AND PAID AN ADMINISTRATIVE CHARGE BY WASTE MANAGEMENT. YOU MAY BE ENTITLED TO A PAYMENT FROM A CLASS ACTION SETTLEMENT. ||||||||||||||||||||||| Postal Service: Please do not xxxx barcode XXX—«ClaimID» «MailRec» «First1» «Last1» «C/O» «Addr1» «Addr2» «City», «St» «Zip» «Country» By Order of the Court Dated: [date] A settlement has been reached in a class action lawsuit claiming that Defendant, Waste Management of New York, LLC (“Waste Management”), unlawfully charged its customers an Administrative Charge to cover the costs of generating paper invoices and processing payments by mail. Waste Management denies the claims in the lawsuit and contends that it did not do anything wrong and denies that class certification is warranted...
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I have a Michigan street address and between April 1, 2010 and October 31, 2016, purchased or had a subscription to a Consumer Reports Publication. Consumer Reports Publications include any magazine or any other publication published by Defendant or any of its subsidiaries in the United States, including but not limited to any one of the following magazines and/or publications: Consumer Reports, Consumer Reports Online, Consumer Reports on Health Newsletter, ShopSmart, and/or MoneyAdvisor. □ Under penalty of perjury, all information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / / Print Name: The Settlement Administrator will review your Claim Form; if accepted you will be mailed a check for a pro rata share of the Settlement Fund depending on the number of valid claim forms received. This process takes time, please be patient. Questions, visit xxx.XXxxxxxxxxxxxxxxxxxx.xxx or call [toll free number] 4818-6247-6896v.1 0093526-000011 EXHIBIT B From: XxxxxxxxXxxxxxxxxx@XXxxxxxxxxxxxxxxxxxx.xxx To: XxxXXxxxxXxxxxx@xxxxxx.xxx Re: Legal Notice of Class Action Settlement NOTICE OF PROPOSED CLASS ACTION SETTLEMENT Xxxxxx v. Consumers Union of United States, Inc., Case No. 7:16-cv-02444-KMK (United States District Court for the Southern District of New York) This notice is to inform you of the settlement of a class action lawsuit with nonprofit magazine publisher Consumer Reports, Inc., the Defendant in this case. Plaintiff Xxx Xxxxxx alleges that Defendant disclosed its customers’ subscription information to third parties which is alleged to violate Michigan privacy law. While Consumer Reports believes that its practices were in compliance with Michigan law, Consumer Reports chose to settle this case, without admitting liability, to focus time, effort and resources on protecting consumers, as the organization has since its founding, and not on additional legal fees and the uncertainty of litigation.
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I made an online or over-the-phone residential mortgage payment to Nationstar and was charged a convenience fee and was a Washington State resident between November 17, 2011 and [Preliminary Approval Date] and/or a United States resident between November 17, 2014 and [Preliminary Approval Date]. The debt was at least 30 days past due when Nationstar began servicing it. □ All information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / / Print Name: The Settlement Administrator will review your Claim Form; if accepted you will be mailed a check for a pro rata (meaning equal) share of the Settlement Fund remaining after costs to administer the Settlement, attorneys’ fees and costs, and an award to the Plaintiff are paid based on the number of times you were charged a convenience fee. If you were both a Washington and United States resident, you can only submit a single claim form for a pro rata payment. This process takes time, please be patient. Questions, visit [Settlement Website] or call [Settlement Administrator’s Number] Exhibit D United States District Court for the Western District of Washington Garcia v. Nationstar Mortgage LLC, Case No. 2:15-cv-01808 TSZ IF YOU PAID A CONVENIENCE FEE WHEN MAKING A MORTGAGE PAYMENT TO NATIONSTAR MORTGAGE LLC YOU ARE ENTITLED TO A PAYMENT FROM A CLASS ACTION SETTLEMENT. A court authorized this notice. You are not being sued. This is not a solicitation from a lawyer. • A Settlement has been reached in a class action lawsuit claiming that Defendant Nationstar Mortgage LLC, a residential mortgage servicing company, charged customers making their mortgage payments online or over the phone convenience fees that were not authorized by their loan agreements in violation of the Fair Debt Collection Practices Act and Washington law. • You are included if you are one of the approximately 182,295 United States residents from November 17, 2014 to [Preliminary Approval Date] and/or 6,098 Washington State residents from November 11, 2011 and [Preliminary Approval Date] who were charged convenience fees for making over-the-phone or online payments to Nationstar when making their residential mortgages, and when those debts were at least 30 days past due when Nati...
Examples of Class Member Verification in a sentence
Please note that if you are a Class Member, the Class Member Verification section below requires you to state, under penalty of perjury, that all information contained therein is true and correct.
Please note that if you are a Premium Overpayment Settlement Class Member, the Class Member Verification section below requires you to state, under penalty of perjury, that you paid insurance premium payments to AvMed, Inc.
Please note that if you are an Identity Theft Settlement Class Member, the Class Member Verification section below requires you to state, under penalty of perjury, both that: (1) you have been a victim of identity theft between December 2009 and [claims deadline]; and (2) due to this identity theft, you have suffered actual, monetary damages, for which you have not been reimbursed, excluding any charges initiated with your authorization.
Claims submitted without documentation will NOT be considered valid.) Class Member Verification By submitting this claim form and checking the boxes below, I declare under penalty of perjury that I am a member of the Identity Theft Class and that the following statements are true (check each box that applies): I purchased insurance from AvMed, Inc., and was a victim of identity theft between December 2009 and [claims deadline].
A Class Member who wishes to dispute the number of workweeks they worked outlined in the Class Member Verification Form sent to the Class Member as part of the Class Notice Packet may do so by notifying the Settlement Administrator in writing by either FAX, email, or mail postmarked no later than five (5) business days before the Response Deadline.
After the Court enters its order granting preliminary approval of the Settlement, every Class Member will be provided with the Class Notice Packet (which will include the Class Notice completed to reflect the order granting preliminary approval of the Settlement and an Individual Class Member Verification Form stating the total number of wo and an estimated individual Settlement Share for each Class Member) in English and Spanish.
Class Members will be provided with an Individual Class Member Verification Form during the class notice process that states the total number of workweeks during the Class Period attributed to that Class Member based on Participating Class Member does not dispute the number of workweeks set forth on the Verification Form, then the Settlement Adminis individual Settlement Share within forty-five days (45) days of the Effective Date.
By contrast, Finland and Sweden have high unemployment and considerably lower employment levels also in a broader international perspective.
Name (First, M.I., Last): Street Address: City: State: Zip Code: E-mail Address: Contact Phone #: Class Member Verification: By submitting this Claim Form, I declare that I am a member of the Settlement Class and that the following information is true and correct: I worked for Defendants as a Server in Orange Park, Florida, between February 22, 2017, and [DATE OF PRELIMINARY APPROVAL].
An approximation of your settlement share appears on the enclosed Class Member Verification Form and is based on the number of workweeks you worked in Defendants’ records in comparison to other workers during the period from October 4, 2015 to November 9, 2020.
More Definitions of Class Member Verification
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment):
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I have a Michigan street address and between April 1, 2010 and October 31, 2016, purchased or had a subscription to a Consumer Reports Publication. Consumer Reports Publications include any magazine or any other publication published by Defendant or any of its subsidiaries in the United States, including but not limited to any one of the following magazines and/or publications: Consumer Reports, Consumer Reports Online, Consumer Reports on Health Newsletter, ShopSmart, and/or MoneyAdvisor. □ Under penalty of perjury, all information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / / Print Name: The Settlement Administrator will review your Claim Form; if accepted you will be mailed a check for a pro rata share of the Settlement Fund depending on the number of valid claim forms received. This process takes time, please be patient. Questions, visit xxx.XXxxxxxxxxxxxxxxxxxx.xxx or call [toll free number]
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I made an online or over-the-phone residential mortgage payment to Nationstar and was charged a convenience fee and was a Washington State resident between November 17, 2011 and [Preliminary Approval Date] and/or a United States resident between November 17, 2014 and [Preliminary Approval Date]. The debt was at least 30 days past due when Nationstar began servicing it. □ All information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: _____________________________________________ Date / _ ___/ _ ___ Print Name: _______ _ _ _ _ _ _ _ _ _ _ _ __ The Settlement Administrator will review your Claim Form; if accepted you will be mailed a check for a pro rata (meaning equal) share of the Settlement Fund remaining after costs to administer the Settlement, attorneys’ fees and costs, and an award to the Plaintiff are paid based on the number of times you were charged a convenience fee. If you were both a Washington and United States resident during the relevant time periods, you can only submit a single claim form for a pro rata payment. This process takes time, please be patient. Questions, visit [Settlement Website] or call [Settlement Administrator’s Number] A Settlement has been reached in a class action lawsuit claiming that Defendant Nationstar Mortgage LLC, a mortgage loan servicing company, charged customers making their mortgage payments online or over the phone convenience fees that were not authorized by their loan agreements in violation of the Fair Debt Collection Practices Act and Washington law. Nationstar denies it violated any law, but has agreed to the Settlement to avoid the uncertainties and expenses associated with continuing the case.
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I had a Michigan street address on or before July 30, 2016 and purchased and/or had a subscription to a Hearst Publication on or before July 30, 2016. Hearst Publications include any magazine or other publication published by Defendant, one of its subsidiaries, predecessors, or companies acquired by Hearst, or any publication acquired by Hearst, in the United States, including but not limited to any one of the following magazines or publications: Country Living, Cosmopolitan, Elle Decor, Elle, Esquire, Food Network Magazine, Good Housekeeping, Xxxxxx’x Bazaar, House Beautiful, Xxxxx Claire, O, The Oprah Magazine, Popular Mechanics, Redbook, Road & Track, Seventeen, Town & Country, Veranda, and Woman’s Day. □ Under penalty of perjury, all information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / _ / Print Name: The Settlement Administrator will review your Claim Form; you may be required to submit additional documentation to validate your claim. If accepted, you will be mailed a check for a pro rata share of the Settlement Fund depending on the number of valid claim forms received. This process takes time, please be patient.
Class Member Verification. By submitting this claim form and checking the boxes below, I declare that I believe I am a member of the Settlement Class and that the following statements are true (each box must be checked to receive a payment): □ I have a Michigan street address and subscribed to a Condé Nast Publication between July 20, 2009 and July 30, 2016 for delivery to a Michigan address. Condé Nast Publications include any magazine published by Defendant, one of its subsidiaries or predecessors, or any company or publication acquired by Condé Nast in the United States, including but not limited to any one of the following magazines or publications: Allure, Architectural Digest, Bon Appétit, Brides, Condé Nast Traveler, Footwear News, Glamour, Golf Digest, Golf World, GQ, Lucky, Self, Teen Vogue, The New Yorker, Vanity Fair, Vogue, W, Wired, Women’s Wear Daily. □ Under penalty of perjury, all information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / / _ Print Name: The Settlement Administrator will review your Claim Form; you may be required to submit additional documentation to validate your claim. If accepted, you will be mailed a check for a pro rata share of the Settlement Fund depending on the number of valid claim forms received. This process takes time, please be patient.
Class Member Verification. By submitting this claim form and checking the boxes below, I believe I am a member of the Settlement Class and that the following statements are true (both boxes must be checked to receive a payment): □ I worked for Termax Company in the State of Illinois any time between September 30, 2016 and August 1, 2022, I used my fingerprint, handprint and/or other biometric identifier or biometric information, as defined by applicable Illinois law, to clock in and out of work, and I would like to participate in the settlement. □ Under penalty of perjury, all information provided in this Claim Form is true and correct to the best of my knowledge and belief. Signature: Date: / / You understand by submitting this claim form that The Termax may release your social security number to the appointed Claims Administrator, Simpluris, for the limited purpose of satisfying requirement(s) imposed by the Internal Revenue Service. The Settlement Administrator will review your Claim Form; you may be required to submit additional documentation to validate your claim. If accepted, you will be mailed a check for pro rata share of the Net Settlement Fund. This process takes time. Please be patient. Questions, visit [Settlement Website] or call [toll free number] A settlement has been reached in a class action lawsuit alleging that Defendant, Termax Company (“Termax”), unlawfully collected, captured, received, or otherwise disclosed its Illinois employees’ Biometric Identifiers and/or Biometric Information through its finger, handprint and/or other biometric identifier or biometric information, as defined by applicable Illinois law, clock-in system. Termax denies the claims in the lawsuit and contends that it did not do anything wrong and denies that class certification is warranted or appropriate. The Court did not resolve the claims and defenses raised in this action. Nor has the Court determined that Termax did anything wrong or that this matter should be certified as a class action except if the Settlement is fully approved by the Court. The parties have agreed to settle the dispute to avoid the cost and risk of a trial.