ESPAÑOL

CLAIMANT INFORMATION


Please ensure you provide a current, valid email address and mobile phone number with your claim submission. If the email address or mobile phone number you include with your submission becomes invalid for any reason, it is your responsibility to provide the Settlement Administrator with a current, valid email address and mobile phone number for payment.Your email address and mobile phone number allow us to provide you with a number of digital payment options to receive your settlement payment. The information provided on this Claim Form will be used solely by the Court-approved Settlement Administrator for the purposes of administering the settlement and will not be provided to any third party or sold for marketing purposes.


QUALIFYING SMART TV INFORMATION



Please use the below section of the Claim Form to add your Qualifying Smart TV Information to your Claim submission. After entering your Qualifying Smart TV Information, you must click the "Add Smart TV Information" to include your Qualifying Smart TV with your Claim.





Purchased Model Connected Action

CERTIFICATION



By signing this claim submission, I certify, under penalty of perjury, that the information included with this claim submission is accurate and complete to the best of my knowledge, information and belief. If I am submitting this claim submission on behalf of a Claimant, I certify that I am authorized to submit this claim submission on the individual’s behalf. I am, or the individual on whose behalf I am submitting this claim submission is, a member of the Class, and have not submitted a request to exclude myself, or “opt-out of”, the Settlement. I agree and consent to be communicated with electronically via email and/or mobile phone text (message & data rates may apply). I agree to furnish additional information regarding this claim submission if so requested to do so by the Settlement Administrator.


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