Claimant Information
Confirmation
Class Action Settlement Objection Form

To object to the settlement, you must fully complete and submit this form. Submitting this objection does not constitute filing a claim, and thus you should also submit a Claim Form to receive a pro rata share should the objection be overruled. All information will be kept private. It will not be disclosed to anyone other than the Court, the Settlement Administrator, and the Parties in this case, and will be used only to administer this settlement.

Current Contact Information

You must provide the following information to object to the Settlement:

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