To be eligible to receive a share of the Net Settlement Fund in connection with the Settlement of this Action, you must be a Settlement Class Member and complete and electronically sign this Proof of Claim and Release Form ("Claim Form") no later than July 23, 2019.

Failure to submit your online Claim Form by the date specified will subject your claim to rejection and may preclude you from being eligible to recover any money in connection with the Settlement.

If you have been here before and filled in a form, but haven't submitted your claim, please type the username and the password that you received from us below.