INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records. 2. Mail your completed Former Participant Claim Form postmarked no later than XXXXXXXX to the Settlement Administrator at the following address: Claim Forms may also be completed and submitted to the Settlement Administrator electronically online at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. Electronic Claim Forms must be submitted no later than XXXXXX. It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Claim Form.
Appears in 2 contracts
Sources: Class Action Settlement Agreement, Class Action Settlement Agreement