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The Claim Form must be substantially similar to the form attached as Exhibit 5.", "hash": "987616dd69a6d53ec2a8b7da298a3222", "id": 2}, {"samples": [{"hash": "27shyAHc7ZT", "uri": "/contracts/27shyAHc7ZT#claim-forms", "label": "Settlement Agreement", "score": 35.0163955688, "published": true}, {"hash": "26OptPcVtP3", "uri": "/contracts/26OptPcVtP3#claim-forms", "label": "Settlement Agreement", "score": 34.9795227051, "published": true}], "snippet_links": [{"key": "exhibit-c", "type": "clause", "offset": [29, 38]}, {"key": "settlement-agreement", "type": "clause", "offset": [47, 67]}, {"key": "settlement-class-members", "type": "definition", "offset": [75, 99]}, {"key": "claim-deadline", "type": "definition", "offset": [142, 156]}, {"key": "to-be-eligible-for", "type": "clause", "offset": [166, 184]}, {"key": "the-benefits", "type": "clause", "offset": [185, 197]}], "size": 4, "snippet": "means the forms, attached as Exhibit C to this Settlement Agreement, which Settlement Class Members must complete and submit on or before the Claim Deadline in order to be eligible for the benefits described herein. 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Settlement Award pursuant to Section III. Each Settlement Class Member must attest under penalty of perjury that they qualify as a member of the Settlement Class, that they purchased a VIZIO Television during the Class Period, and the information supplied in the Claim Form is true and correct to the best of the Settlement Class Member\u2019s knowledge. For a Claim to be considered valid, each Settlement Class Member must enter the following information into the Claim Form: (1) Television model number(s), (2) approximate date(s) of purchase, and (3) the place(s) of purchase (selling retailer name and state of purchase). For online purchases, the place of purchase is the Settlement Class Member\u2019s state of residence at the time of the purchase. Additionally, for a Claim to be considered valid, each Settlement Class Member must provide \u201cproof of purchase\u201d concurrently with the Claim Form by submitting one (1) of the following:", "hash": "384f3b4f71e4a34ba3b8d5d81ca11be9", "id": 9}, {"samples": [{"hash": "95ZgR9YDaoO", "uri": "/contracts/95ZgR9YDaoO#claim-forms", "label": "Settlement Agreement", "score": 30.4603424072, "published": true}, {"hash": "3x6UXcUUq4N", "uri": "/contracts/3x6UXcUUq4N#claim-forms", "label": "Settlement Agreement", "score": 22.2238197327, "published": true}], "snippet_links": [{"key": "eligible-class-members", "type": "definition", "offset": [14, 36]}, {"key": "to-receive", "type": "definition", "offset": [69, 79]}, {"key": "settlement-payment", "type": "definition", "offset": [82, 100]}, {"key": "settlement-agreement", "type": "clause", "offset": [112, 132]}, {"key": "the-claim-form", "type": "clause", "offset": [134, 148]}, {"key": "the-court", "type": "clause", "offset": [162, 171]}, {"key": "for-approval", "type": "definition", "offset": [172, 184]}], "size": 2, "snippet": "mean the form eligible Class Members must complete and timely submit to receive a Settlement Payment under this Settlement Agreement. The Claim Form submitted to the Court for approval must be in the form attached as Exhibit D.", "hash": "fd9505222401f67cc700ee74ec79f60e", "id": 10}], "next_curs": "ClgSUmoVc35sYXdpbnNpZGVyY29udHJhY3RzcjQLEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiIUY2xhaW0tZm9ybXMjMDAwMDAwMGEMogECZW4YACAA", "definition": {"title": "Claim Forms", "size": 64, "snippet": "means the claim forms to be used by Settlement Class Members to submit a Claim, either through the mail or online through the Settlement Website, substantially in the form as shown in Exhibits A-1 and A-2.", "id": "claim-forms", "examples": ["Payments will be made to all Class Members who timely submit valid <strong>Claim Forms</strong>, if the Court approves the Settlement and after any appeals are resolved.", "The Settlement Administrator will issue Settlement distributions only to Final Settlement Class Members who submit timely and valid <strong>Claim Forms</strong>."], "related": [["claim-form", "Claim Form", "Claim Form"], ["indemnification-claim-notice", "Indemnification Claim Notice", "Indemnification Claim Notice"], ["indemnification-claim", "Indemnification Claim", "Indemnification Claim"], ["claims-bar-date-order", "Claims Bar Date Order", "Claims Bar Date Order"], ["claims-bar-date", "Claims Bar Date", "Claims Bar Date"]], "related_snippets": [], "updated": "2025-07-17T06:21:15+00:00"}, "json": true, "cursor": ""}}