Settlement Class Member Affirmation Sample Clauses

The Settlement Class Member Affirmation clause requires individuals who are part of a settlement class to formally confirm their eligibility and participation in the settlement. Typically, this involves submitting a signed statement or form affirming that they meet the criteria to be considered a class member and that they agree to the terms of the settlement. This process ensures that only qualified individuals receive settlement benefits and helps prevent fraudulent or duplicate claims, thereby maintaining the integrity and fairness of the settlement distribution.
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Settlement Class Member Affirmation. By submitting this Claim Form you affirm under penalty of perjury that, to the best of your knowledge, the Player ID(s) and email address(es) listed above are yours.
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Settlement Class Member Affirmation. I declare under penalty of perjury that the information supplied in this claim form is true and correct. I authorize the Settlement Administrator to contact me, using the contact information set forth above, to obtain any necessary supplemental information. By submitting this Claim Form, I certify that any documentation that I have submitted in support of my Claim consists of unaltered documents in my possession. □ Yes, I understand that my failure to check this box may render my Claim null and void. Please include your name in both the Signature and Printed Name fields below. Signature: Print Name: _________________________________ Date: involving ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ LLP, Mondelēz Global LLC, and Chicago IVF you may be eligible for a CASH PAYMENT or other benefits under a class action settlement. A proposed settlement has been reached in a class action lawsuit concerning a Data Security Incident perpetrated against Defendant ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ LLP (“BCLP”). On or about February 27, 2023, BCLP became aware of potential unauthorized access to certain systems and data within its information technology network (the “Data Security Incident”). BCLP investigated and determined that a threat actor had accessed certain files related to BCLP’s clients, including Defendant Mondelēz Global LLC (“Mondelēz”; and collectively with BCLP, “Defendants”) and Chicago IVF, that contained personally identifiable information and protected health information (“PII/PHI”). The Settlement would resolve a lawsuit in which Plaintiffs allege that the Data Security Incident exposed individuals’ PII/PHI, including some combination of names; marital statuses, Social Security numbers, addresses, dates of birth, genders, employee identification numbers, retirement and/or thrift plan information, and PHI. Defendants deny all claims of wrongdoing or liability that Plaintiffs, Settlement Class Members, or anyone else have asserted in this Litigation or may assert in the future based on the conduct alleged in the complaints. ▇▇▇▇▇▇▇▇ and BCLP maintain that they did nothing wrong. The Court has not decided who is right. Instead, the parties agreed to a compromise. The Settlement offers payments and credit monitoring services to members of the Settlement Class. Settlement Class Members can claim the following Settlement Benefits:
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Settlement Class Member Affirmation. By submitting this Claim Form and checking the box below, I declare that I received notification from the Defendant that I have been identified as a potential Settlement Class Member. As I have submitted claims of losses due to the Data Breach, I declare that I suffered these losses. I understand that my claim and the information provided above will be subject to verification. I also understand that I may not be entitled to recover under this Settlement if I am employed by and/or affiliated with the Judge presiding over this action, and/or am employed by the Defendant or anyone acting on their behalf. By submitting this Claim Form, I certify that any documentation that I have submitted in support of my claim consists of unaltered documents in my possession. ☐ Yes, I understand that my failure to check this box may render my claim null and void. Please provide your name in both the Signature and Printed Name fields below and date your signature below. Signature: Date: – – MM DD YY Printed Name: SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF ▇▇▇▇
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Settlement Class Member Affirmation. By submitting this Claim Form and checking the box below, I declare that I received notification from ▇▇▇▇▇▇▇ that my personally identifiable information may have been implicated in the Data Incident. I declare that the claim of losses I have submitted are reasonably traceable to the Data Incident. I understand that my claim and the information provided above will be subject to verification. By submitting this Claim Form, I certify that any documentation that I have submitted in support of my claim consists of unaltered documents in my possession. □ Yes, I understand that my failure to check this box may render my claim null and void. Please include your name in both the Signature and Printed Name fields below. Signature: Print Name: _________________________________ Date: ▇▇▇▇ ▇▇▇▇▇▇ AND ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, individually and on behalf of all others similarly situated, Plaintiffs,
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Settlement Class Member Affirmation. I declare under penalty of perjury that the information supplied in this claim form is true and correct. I authorize the Settlement Administrator to contact me, using the contact information set forth above, to obtain any necessary supplemental information. By submitting this Claim Form, I certify that any documentation that I have submitted in support of my Claim consists of unaltered documents in my possession. Please include your name in both the Signature and Printed Name fields below. Signature: Print Name: _________________________________ Date:
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Settlement Class Member Affirmation. By submitting this Claim Form and checking the box below, I declare that I received notification from Insurance Technologies Corp. and/or Zywave, Inc. that I have been identified as a potential Settlement Class Member. As I have submitted claims of losses due to the Data Breach, I declare that I suffered these losses. I understand that my Claim and the information provided above will be subject to verification. I also understand that I may not be entitled to recover under this Settlement if I am employed by and/or affiliated with the Judge or Magistrate presiding over this action, and/or am employed by the Defendants or anyone acting on their behalf. By submitting this Claim Form, I certify that any documentation that I have submitted in support of my Claim consists of unaltered documents in my possession. ☐ Yes, I understand that my failure to check this box may render my Claim null and void. Please include your name in both the Signature and Printed Name fields below. Signature: MM DD YY Printed Name:
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Settlement Class Member Affirmation. By submitting this Claim Form and checking the box below, I declare that I received notification from ▇▇▇▇ that I have been identified as a potential Settlement Class Member. As I have submitted claims of losses due to the Data Breach, I declare that I suffered these losses. I understand that my Claim and the information provided above will be subject to verification. I also understand that I may not be entitled to recover under this Settlement if I am employed by and/or affiliated with the Judge or Magistrate presiding over this action, and/or am employed by the Defendant or anyone acting on its behalf. Please include your name in both the Signature and Printed Name fields below. Signature: Date: – – MM DD YY Printed Name: ◼ ◼ ◼ ◼
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Settlement Class Member Affirmation. I declare under penalty of perjury that the information supplied in this claim form is true and correct. I authorize the Settlement Administrator to contact me, using the contact information set forth above, to obtain any necessary supplemental information. By submitting this Claim Form, I certify that any documentation that I have submitted in support of my Claim consists of unaltered documents in my possession. □Yes, I understand that my failure to check this box may render my Claim null and void. Please include your name in both the Signature and Printed Name fields below. Signature: Print Name: _________________________________ Date: IN ORDER TO BE VALID, THIS CLAIM FORM MUST BE MAILED BY OR RECEIVED ONLINE AT [INSERT WEBSITE] NO LATER THAN [CLAIMS DEADLINE]. ▇▇▇▇▇▇▇ ▇▇▇▇ and ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, on behalf of themselves and all others similarly situated, Plaintiffs,
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Related to Settlement Class Member Affirmation

  • Settlement Class In the event of such dispute, the party raising the dispute shall be limited to seeking declaratory relief, and to no other form of relief. The declaratory relief available as to any such dispute shall be limited to deciding whether (y) the putative buying group is a properly organized bona fide buying group that complies with the requirements of this Paragraph, and/or (z) whether Visa negotiated in good faith with the putative buying group. The parties, including all members of the Rule 23(b)(2) Settlement Class, waive all rights to appeal from any such determinations. Upon resolution of the dispute by the Court, the losing party shall be responsible for all attorneys’ fees and expenses of the prevailing party unless the Court determines that the circumstances make such an award unjust.

  • Settlement Class Certification The Settling Parties agree, for purposes of this settlement only, to the certification of the Settlement Class. If the settlement set forth in this Settlement Agreement is not approved by the Court, or if the Settlement Agreement is terminated or cancelled pursuant to the terms of this Settlement Agreement, this Settlement Agreement, and the certification of the Settlement Class provided for herein, will be vacated and the Litigation shall proceed as though the Settlement Class had never been certified, without prejudice to any Person’s or Settling Party’s position on the issue of class certification or any other issue. The Settling Parties’ agreement to the certification of the Settlement Class is also without prejudice to any position asserted by the Settling Parties in any other proceeding, case or action, as to which all of their rights are specifically preserved.

  • Notice to Class Members 7.4.1 No later than three (3) business days after receipt of the Class Data, the Administrator shall notify Class Counsel that the list has been received and state the number of Class Members, PAGA Members, Workweeks, and Pay Periods in the Class Data. 7.4.2 Using best efforts to perform as soon as possible, and in no event later than 14 days after receiving the Class Data, the Administrator will send to all Class Members identified in the Class Data, via first-class United States Postal Service (“USPS”) mail, the Class Notice with Spanish translation, if applicable substantially in the form attached to this Agreement as Exhibit A. The first page of the Class Notice shall prominently estimate the dollar amounts of any Individual Class Payment and/or Individual PAGA Payment payable to the Class Member, and the number of Workweeks and PAGA Pay Periods (if applicable) used to calculate these amounts. Before mailing Class Notices, the Administrator shall update Class Member addresses using the National Change of Address database. 7.4.3 Not later than 3 business days after the Administrator’s receipt of any Class Notice returned by the USPS as undelivered, the Administrator shall re-mail the Class Notice using any forwarding address provided by the USPS. If the USPS does not provide a forwarding address, the Administrator shall conduct a Class Member Address Search, and re-mail the Class Notice to the most current address obtained. The Administrator has no obligation to make further attempts to locate or send Class Notice to Class Members whose Class Notice is returned by the USPS a second time. 7.4.4 The deadlines for Class Members’ written objections, Challenges to Workweeks and/or Pay Periods, and Requests for Exclusion will be extended an additional 14 days beyond the 60 days otherwise provided in the Class Notice for all Class Members whose notice is re-mailed. The Administrator will inform the Class Member of the extended deadline with the re-mailed Class Notice. 7.4.5 If the Administrator, Defendant or Class Counsel is contacted by or otherwise discovers any persons who believe they should have been included in the Class Data and should have received Class Notice, the Parties will expeditiously meet and confer in person or by telephone, and in good faith in an effort to agree on whether to include them as Class Members. If the Parties agree, such persons will be Class Members entitled to the same rights as other Class Members, and the Administrator will send, via email or overnight delivery, a Class Notice requiring them to exercise options under this Agreement not later than 14 days after receipt of Class Notice, or the deadline dates in the Class Notice, which ever are later.

  • Certification of the Settlement Class For purposes of this Settlement only, the Parties stipulate to the certification of the Settlement Class, which is contingent upon the Court entering the Final Approval Order and Judgment of this Settlement and the occurrence of the Effective Date.

  • To Class Counsel A Class Counsel Fees Payment of not more than %, which is currently estimated to be $ , and a Class Counsel Litigation Expenses Payment of not more than $ . XYZ will not oppose requests for these payments provided that do not exceed these amounts. Plaintiff and/or Class Counsel will file a motion for Class Counsel Fees Payment and Class Litigation Expenses Payment no later than [16 court] days prior to the Final Approval Hearing. If the Court approves a Class Counsel Fees Payment and/or a Class Counsel Litigation Expenses Payment less than the amounts requested, the Administrator will allocate the remainder to the Net Settlement Amount. Released Parties shall have no liability to Class Counsel or any other Plaintiff’s Counsel arising from any claim to any portion any Class Counsel Fee Payment and/or Class Counsel Litigation Expenses Payment. The Administrator will pay the Class Counsel Fees Payment and Class Counsel Expenses Payment using one or more IRS 1099 Forms. Class Counsel assumes full responsibility and liability for taxes owed on the Class Counsel Fees Payment and the Class Counsel Litigation Expenses Payment and holds XYZ harmless, and indemnifies XYZ, from any dispute or controversy regarding any division or sharing of any of these Payments.