GOOGLE PLUS PROFILE LITIGATION

CASE NO. 5:18-CV-06164-EJD (VKD)

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA

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1. You may be eligible to receive a cash payment if you submit this Claim Form.

Settlement Class Members who submit a Claim may be eligible to receive cash payments in an amount up to a maximum of $12.00, depending on the total number of Claimants. Each Settlement Class Member is allowed to submit no more than one claim, regardless of the number of Google+ accounts the Class Member had.

Settlement Class Members whose Claims are determined to be valid will receive their payments via the Electronic Payment method specified below. Claimants must fully complete all sections of this form.

2. Name and Contact Information of Claimant
3. Election of Electronic Payment Format

Please indicate your preferred method of payment and provide the required Electronic Payment information. Please choose only one of the below options. *

4. Details Concerning Eligibility

You must be able to check all of the following boxes in order to be eligible to receive a settlement payment. Check each box below that represents a true statement about your use of Google+.

5. Verification

By signing below and submitting this claim form I hereby affirm under oath that: (1) I am 18 years of age or older; (2) I am the person identified above (or, if the person identified above is a minor, I am the parent or guardian of that person); and (3) the information provided in this Claim Form is, to the best of my knowledge, true and correct.

THIS CLAIM FORM MUST BE SUBMITTED ON THE SETTLEMENT WEBSITE NO LATER THAN OCTOBER 8, 2020.

* Required Fields

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Your Claim Details

Submitted Claim ID:
Confirmation Code:
You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
CLAIM INFORMATION
First Name
Last Name
Street Address
City
State
Zip Code
Primary Email Address to use for communications
Signature
Date

If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at info@GooglePlusDataLitigation.com

Click here to edit your Claim.