Exclusion From Class Action

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ELECTRONIC REQUEST FOR EXCLUSION FROM CLASS SETTLEMENT

JAVIER PEREZ v. WEST COAST DRYWALL, INC., et al.
Case No. RIC1401694

IF YOU WISH TO BE EXCLUDED FROM THE SETTLEMENT CLASS,
YOU MUST SUBMIT A REQUEST FOR EXCLUSION TO THE CLAIMS ADMINISTRATOR


FILING BY MAIL.
You may submit a Request for Exclusion online at: http://www.phoenixclassaction.com/PerezvWestCoastDrywall
The Request for Exclusion must be submitted on or before July 2, 2016.


I, First Name (required)
 
Last Name (required)

hereby elect to opt out of the class in the above-referenced litigation. I confirm that I have received the Notice of Class Action Settlement and Hearing Date for Court Approval, and the claims procedure in the above-referenced litigation. I have decided NOT to participate in the proposed settlement and I understand that I will not receive any benefit from the Settlement.

Electronic Signature - Type Your Name (required)

Any Other Names Used During Employment at West Coast Drywall and/or Royal West Drywall, Inc.

Address (required)

City (required)

State (required)

Zip Code (required)

Phone Number (required)

Your Email (required)

Last 4 Digits of your Social Security Number (required)


Deadline:
Your Request for Exclusion must be postmarked by July 2, 2016 to be excluded from the settlement class.

JAVIER PEREZ v. WEST COAST DRYWALL, INC., et al., Settlement Administrator
c/o Phoenix Settlement Administrators
P.O. Box 7208
Orange, Ca. 92863