Settlement Claim Form means the document, in substantially the same form as Exhibit 9 attached to this Agreement, to be completed by a Class Member in order to make a Settlement Claim pursuant to this Settlement.
Settlement Claim Form means an electronic or paper document, in the form approved by the Court, to be completed by Settlement Class Members and submitted to the Claims Administrator to receive a share of the settlement. The Parties agree to propose approval of the Settlement Claim Form attached as Exhibit 5.
Settlement Claim Form means a form, substantially in the form attached hereto as Exhibit 4, to be completed by Settlement Class Members and submitted to the Claims Administrator. The Settlement Class Members who receive the e-mailed or mailed Class Notice shall be able to make a claim via telephone IVR provided that they are required to enter the claim ID printed on the notice. Each Settlement Claim Form shall require the Settlement Class Member to provide: (a) his or her name; (b) physical address; (c) phone number, which shall be optional; and (d) e-mail address to the extent that he or she has one. The website claim form will prepopulate this
Examples of Settlement Claim Form in a sentence
By the deadline for disseminating the Class Notice, the Claims Administrator shall establish and maintain the Settlement Website, which, among other things, (i) enables Settlement Class Members to submit a claim and access and download the Settlement Claim Form; (ii) provides contact information for Class Counsel, and (iii) provides access to relevant documents.
To receive a payment, you must timely submit a properly completed Settlement Claim Form.
All Settlement Class Members are eligible to submit a Settlement Claim Form and receive a cash payment.
You can also obtain and submit a Settlement Claim Form online at xxx.XxxxxXXXXxxxxxxxxxx.xxx.
You may get a Settlement Claim Form on the Settlement Website: xxx.XxxxxXXXXxxxxxxxxxx.xxx, or by calling the Toll-Free Settlement Hotline, <<Claims Admin IVR toll free #>>.
More Definitions of Settlement Claim Form
Settlement Claim Form means an electronic or paper document, in the form approved by the Court, to be completed by Settlement Class Members and submitted to the Claims Administrator to receive a share of the settlement. The Parties agree to propose approval of the Settlement Claim Form attached as Exhibit 4.
Settlement Claim Form means the form(s) for submitting claims under the Settlement Claim Process substantially in the form(s) attached hereto as Exhibits 10, 11, 12, and 13.
Settlement Claim Form or “Claim Form” means a claim form, in the form to be 22 determined by the Settlement Administrator, that a Settlement Class Member seeking 23 reimbursement must submit to the Settlement Administrator as provided in this Agreement.
Settlement Claim Form means a form, substantially in the form attached hereto as Exhibit 5 (for recipients of direct notice per Section IV.B.1 below), to be completed by Settlement Class Members and submitted to the Claims Administrator. The Settlement Class Members who receive the direct Class Notice shall be able to make a claim via website or telephone IVR provided that they are required to enter the claim ID printed on the direct notice. Each Settlement Claim Form shall require the Settlement Class Member to provide: (a) his or her name;
Settlement Claim Form means a form, substantially in the form attached hereto as Exhibit 5 (for recipients of direct notice per Section IV.B.1 below), to be completed by Settlement Class Members and submitted to the Claims Administrator. The Settlement Class Members who receive the direct Class Notice shall be able to make a claim via website or telephone IVR (as defined below) provided that they are required to enter the claim ID printed on the direct notice. Each Settlement Claim Form shall require the Settlement Class Member to provide: (a) his or her name; FILED DATE: 11/13/2020 4:25 PM 2020CH05480 (b) physical address; (c) phone number, which shall be optional; and (d) e-mail address to the extent that he or she has one. The website claim form will prepopulate this information for persons who first enter their claim ID and shall ask them to update or correct any information. All Settlement Claim Forms must also contain a verification that the claimant printed at least one receipt at a Safeway gas pump during the settlement class period described in Section I, above. The Claim Forms will also require each Settlement Class Member to state the information he or she is providing is true and correct as of the date thereof to the best of his or her knowledge and belief.
Settlement Claim Form means a form, substantially in the form attached hereto as Exhibit 6 (for recipients of the notice by mailing as per Section IV.B.1 below) or Exhibit 7 (for recipients of the notice by publication as per Section IV.B.5 below), to be completed by Settlement Class Members and submitted to the Claims Administrator. The Settlement Class Members who receive the mailed Class Notice shall be able to make a claim via telephone interactive voice response (IVR) provided that they are required to enter the claim ID printed on the mailed notice. Each Settlement Claim Form shall require the Settlement Class Member to provide:
Settlement Claim Form means an electronic or paper document, in the form approved by the Court, to be completed by Settlement Class Members and submitted to the Claims Administrator to receive a share of the settlement. The Parties agree to propose approval of the Settlement Claim Form attached as Exhibit 4. U. “Settlement Fund” is the Settlement Amount to be made available by Defendant to the Claims Administrator to be used, subject to the Court’s approval, to cover payment of claims submitted by Settlement Class Members, any award of attorneys’ fees and expenses to Class Counsel, any award of costs to subpoenaed banks and other non-parties, notice and administration costs, and any Incentive Payment.