Scroggins v. LexisNexis FL

Case No. 3:22-cv-00545-MHL-SLS (U.S. District Court, E.D. Virginia)

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Claim Form (Step 1 of 4)

  1. PRODUCT MEMBERS CAN COMPLETE THIS FORM TO BE ELIGIBLE FOR A SETTLEMENT PAYMENT, AS DESCRIBED IN THE SETTLEMENT NOTICE.
  2. NOTE: THIS CLAIM FORM WILL NOT BE VALID WITHOUT YOUR SIGNATURE. YOU MUST PROVIDE YOUR NAME, CURRENT ADDRESS, DATE OF BIRTH, AND THE LAST FOUR DIGITS OF YOUR SOCIAL SECURITY NUMBER.
  3. THE SETTLEMENT ADMINISTRATOR MAY REQUEST ADDITIONAL INFORMATION TO VALIDATE YOUR CLAIM.
  4. THE DEADLINE TO SUBMIT A CLAIM IS MAY 15, 2026. THIS DEADLINE IS SUBJECT TO CHANGE. PLEASE CHECK THE SETTLEMENT WEBSITE FOR ANY CHANGES TO THE CLAIM FILING DEADLINE.

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Instructions:

  1. Enter the Claim Number and PIN Numberexactly as printed on the Mailed or Email Notice you received.
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