Claim Form Submission Sample Clauses
The Claim Form Submission clause outlines the requirements and procedures for submitting a formal claim under the agreement. Typically, it specifies the information that must be included in the claim form, such as details of the claim, supporting documentation, and deadlines for submission. This clause ensures that all parties follow a standardized process for raising claims, which helps to streamline dispute resolution and prevent misunderstandings about the validity or timing of claims.
Claim Form Submission. Settlement Class Members seeking reimbursement under ¶ 2.3.1 or ¶ 2.3.2 must complete and submit a Claim Form to the Claims Administrator, postmarked or submitted online on or before the Claims Deadline. A Claim Form being filed for an Out-of-Pocket Expense reimbursement must be verified by the Settlement Class Member with a statement that his or her claim is true and correct, to the best of his or her knowledge and belief, and is being made under penalty of perjury. Notarization is not required. Disputes as to claims submitted under this paragraph are to be resolved pursuant to the provisions stated in ¶ 2.7.
Claim Form Submission. Absent a showing of good cause, as determined by Class Counsel, no Claim Form shall be honored if postmarked more than ninety (90) days after the date the Class Notice is first mailed to Class Members. If a Claim Form is timely submitted but is deficient in one or more aspects, the Claims Administrator shall, within five (5) calendar days of receipt of the deficient form, notify the Parties’ counsel of receipt of the deficient form and shall return the form to the Class Member with a letter explaining the deficiencies and informing the Class Member that he or she shall have fourteen (14) calendar days from the date of the deficiency notice to correct the deficiencies and resubmit the Claim Form. This letter shall be provided in English and Spanish.
Claim Form Submission. This is a claims-made settlement. Class Members must submit a timely and valid Claim Form to the Settlement Administrator on or before the Response Deadline in order to receive payment. Class Members who do not submit a timely and valid claim form will not be eligible for payment.
a. Completed Claim Forms shall be submitted directly to the Settlement Administrator via U.S. Mail or online through the Settlement Website. These shall be the only two methods by which Claim Forms may be validly submitted.
b. The Settlement Website shall contain information on how to contact the Settlement Administrator, how to obtain a Claim Form if needed, and the process and deadline for submitting a Claim Form.
c. The Settlement Administrator will determine whether the Claim Form submitted by any Class Member is a timely, complete, and valid claim form that entitles the Class Member to receive a settlement payment (“Approved Claim”).
d. If a Claim Form is timely submitted but is deficient in one or more aspects, the Settlement Administrator shall, within 5 days of receipt of the deficient Claim Form, notify the Parties’ counsel of receipt of the deficient form and shall return the form to the Class Member with a letter explaining the deficiencies and informing the Class Member that he or she shall have 14 days from the date of the deficiency notice to correct the deficiencies and resubmit the Claim Form.
e. Absent mutual agreement of the Parties, no Claim Form shall be honored, and a Class Member will not be entitled to any monetary compensation, if postmarked or electronically submitted after the Response Deadline.
f. The claims rate of the Settlement Class will be determined as of the Response Deadline.
g. Within 7 days of the Response Deadline, the Settlement Administrator will submit to Counsel for the Parties a report listing all the Approved Claims by Class Members and any Claim Forms received but determined not to be Approved Claims.
Claim Form Submission. At the election of the Class Member, Claim Forms may be submitted in paper via first class mail or online at the Settlement Website. Paper Claim Forms will be attached to the Postcard Notice. For Claim Forms that are submitted online, the Class Member will be sent an email confirmation of the submitted Claim Form showing the information entered and the date and time the Claim Form was submitted.
Claim Form Submission. Settlement Class Members submitting a claim for Credit Monitoring and Identity-Protection Services, Out-of-Pocket Losses, and/or Reimbursement of Lost Time must complete and submit a Claim Form to the Settlement Administrator, postmarked or submitted online on or before the Claims Deadline. A Claim Form being filed for an Out-of-Pocket Expense and Loss reimbursement must be verified by the Settlement Class Member with a statement that his or her claim is true and correct, to the best of his or her knowledge and belief, and is being made under penalty of perjury. Notarization is not required. Disputes as to claims submitted under this paragraph are to be resolved pursuant to the provisions stated in ¶ 2.6.
Claim Form Submission. The settlement website shall contain information on how to contact the Claims Administrator, how to download or otherwise obtain a Claim Form if needed, and the process and deadline for submitting a Claim Form. Absent mutual agreement of the Parties, no Claim Form shall be honored if postmarked after the Response Deadline. If a Claim Form is timely submitted but is deficient in one or more aspects, the Claims Administrator shall, within five calendar days of receipt of the deficient form, notify the Parties’ counsel of receipt of the deficient form and shall return the form to the Class Member with a letter explaining the deficiencies and informing the Class Member that he or she shall have 14 calendar days from the date of the deficiency notice to correct the deficiencies and resubmit the Claim Form. This letter shall be provided in English and Spanish.
Claim Form Submission. Settlement Class Members submitting a claim for Out-of-Pocket Losses, CCPA Payments, and/or a Pro Rata Cash Payment must complete and submit a Claim Form to the Claims Administrator, postmarked or submitted online on or before the Claims Deadline. A Claim Form being filed for an Out-of-Pocket Expense and Loss reimbursement must be verified by the Settlement Class Member with a statement that his or her claim is true and correct, to the best of his or her knowledge and belief, and is being made under penalty of perjury. Notarization is not required. Disputes as to claims submitted under this paragraph are to be resolved pursuant to the provisions stated in ¶ 2.6.
Claim Form Submission