Claims Form means the electronic or paper claims form in English or in French that a Claimant must complete and submit before the Claims Filing Deadline to participate in the distribution of the aggregate damages and to have their individual issues determined in Brazeau, Reddock and Gallone.

Claims Form means the form entitled “ Claims Form” appended to this Distribution Plan;

Examples of Claims Form in a sentence

For any questions about this Special Needs Claims Form, you may contact a Claim Representative at 0-000-000-0000 or xxxx@xxxxxxxxxxxxxxxxxxx.xxx.
For any questions about this Supplemental Claims Form, you may contact a Claim Representative at 0-000-000-0000 or xxxx@xxxxxxxxxxxxxxxxxxx.xxx.
The Claims Form must be submitted to the Claims Administrator on or before the final date of the relevant Claims Period and must adhere to and follow all other requirements set forth herein and/or by the Claims Administrator, including providing all required information specified on the Claims Form.
Once a Settlement Class is certified, Class Members that wish to receive a portion of the Settlement Amount may complete and submit a Claims Form, in substantially the same form as that attached as Exhibit B.
For purposes of calculating each Impacted Water Source’s PFAS Score, the Claims Administer will examine the Qualifying Class Member’s Public Water System Settlement Claims Form to determine the highest concentration, expressed in parts per trillion (“ppt,” or nanograms per liter), that the Impacted Water Source has shown, according to one or more Qualifying Test Results, for PFOA, for PFOS, and for any other single PFAS analyte listed on the Claims Form.

More Definitions of Claims Form

Claims Form means the paper or online document, in the form attached as Exhibit A, that Class Members are required to use to make a claim and receive a payment under this Settlement Agreement as described in Paragraph 10.3 of this Settlement Agreement. The term “Claims Form” may refer to any of seven (7) separate forms: the Phase One Public Water System Settlement Claims Form; the Phase One Supplemental Fund Claims Form; the Phase One Special Needs Fund Claims Form; the Phase Two Testing Compensation Claims Form; the Phase Two Action Fund Claims Form; the Phase Two Supplemental Fund Claims Form; and the Phase Two Special Needs Fund Claims Form.

Claims Form means the document or online form, in the form attached as Exhibit D to this Settlement Agreement, that Settlement Class Members are required to file to receive a payment under this Settlement Agreement as specified in Paragraph 11.4 of this Settlement Agreement.

Claims Form means a claim form in the form of Exhibit 17.1.12.

Claims Form means the paper or online document, in a form substantially similar to the one attached as Exhibit B, that Class Members are required to use to receive a payment under this Settlement Agreement as described in Paragraph 11.3 of this Settlement Agreement and in the Allocation Procedures described in Exhibit A. The term “Claims Form” may refer to any of four (4) separate forms: the Action Fund Claims Form; the Supplemental Claims Form; the Special Needs Fund Claims Form; or the Interrelated Drinking Water System Claims Form addendum.

Claims Form means the electronic or paper claims form in English or in French that a Claimant must complete and submit before the Claims Filing Deadline to participate in the distribution of aggregate damages, and to be eligible to have their individual issues determined under Track 2 or Track 3.

Claims Form means the form, when completed and submitted to the Claims Administrator on or before the Claims Deadline, constitutes a Class Member’s claim for compensation pursuant to the Settlement;

Claims Form means a document substantially in the form of the document attached hereto as Exhibit B.