Claim Form & Release
SUPERIOR COURT OF CALIFORNIA
LOS ANGELES COUNTY
Ortega, et al. v. Global Tel*Link Corporation, et al.
c/o Phoenix Settlement Administrators
PO Box 7208
Orange, CA 92863
Fax: (949) 209-2503
Claim Form & Release
Case No. BC636438
To Receive A Payment, You Must Sign And Complete This Claim Form On Or Before May 17, 2018
If the Settlement becomes effective, and my Claim Form is timely and valid I will be eligible to receive a payment calculated based on the information contained in the tear-off section on the right, and as stated in the Settlement Agreement and the Notice. As a member of the Settlement Class, I will also be releasing and discharging all of the Released Claims against Cooper Communications Group, Inc., Global Tel*Link Corporation, and other Released Parties, as described in the Settlement Agreement. By submitting this Claim Form, I consent to join in the Fair Labor Standards Act portion of the settlement and accordingly release all claims under the Fair Labor Standards Act (“FLSA”), 26 U.S.C section 216, et seq., arising out of or relating to the Released Claims. I understand I can review the Settlement Agreement at: phoenixclassaction.com/ortega-v-gtl