Submit a Claim

Claim Form

Contact Information

Please provide contact information below. You must notify the Settlement Administrator if your contact information changes after you submit this Claim Form.

First Name

Last Name

Address 1

Address 2

City

State

Zip Code

Phone

Credit Monitoring

All Settlement Class Members are eligible to enroll in two (2) years of CyEx Identity Defense. This comprehensive service comes with $1 million of financial fraud insurance, and includes monitoring for:

fraud or identity theft
unauthorized financial transactions
high-risk financial transactions

If anything suspicious happens, you will be able to talk to a fraud resolution agent to help fix any problems.

Would you like to enroll in two (2) years of CyEx Identity Defense?*

YesNo

Note: If you elect credit monitoring, you will need to follow instructions and use an "activation code" that you receive after the Settlement is final. Credit monitoring services will not begin until you use your activation code to enroll. Activation instructions will be sent to the email address you provided in the Contact Information section above.

Cash Compensation

All Settlement Class Members are eligible to receive a cash payment. If you were California resident at the time of the Cybersecurity Incident you can claim to receive a payment initially set at $45.00 by providing your California address at the time of the Cybersecurity Incident. Non-Employees who were not a California resident at the time of the Cybersecurity Incident, may claim a payment initially set at $15.00.

Would you like to claim for cash compensation?*

I was a California resident at the time of the Cybersecurity Incident and wish to claim the $45.00 cash compensation.

I am a Non-Employee Class Member and was not a California resident at the time of the Cybersecurity Incident and wish to claim the $15.00 cash compensation.

I am an Employee who wishes claim for additional Settlement Benefits outside of the automatic Cash Compensation.

I do not wish to claim a cash compensation.

Note: If you are a Settlement Class Member, except for Non-Employees, you will automatically receive Cash Compensation without the need to submit this Claim Form.

Reimbursement for Out-of-Pocket Losses

Class Members who incurred actual, documented out-of-pocket losses due to the Cybersecurity Incident, can get back up to $2,000.00. The losses must have occurred between February 1, 2024, and January 27, 2027, and you cannot claim a payment for expenses that have already been reimbursed by a third party. This benefit covers out-of-pocket expenses like:

losses because of identity theft or fraud
fees for credit reports, credit monitoring, or freezing and unfreezing your credit
cost to replace your IDs
postage to contact banks by mail

Would you like to claim reimbursement for documented out-of-pocket losses?*

YesNo

Note: You must submit documentation, such as receipts, to verify the costs you incurred.

Attestation & Signature

By submitting this Claim Form, I swear and affirm on penalty of perjury that the information provided in this Claim Form, and any supporting documentation, is true and correct to the best of my knowledge.

I understand that my claim is subject to verification and that I may be asked to provide supplemental information by the Settlement Administrator before my claim is considered complete and valid.

Signature

Date