Claim Form

BROOKS vs. EITANE EMERALD CORP ET AL.,
King County Superior Court Case No. 16-2-11493-8 SEA

CLAIM FORM

YOU MUST SUBMIT THIS FORM TO RECOVER ANY MONEY

To receive money from the settlement, complete this form and submit it no later than July 31, 2017.

 

NOTE: This lawsuit is for the 2014 and 2015 conventions.

(for verification)
(Failure to provide a Social Security Number may result in higher tax withholdings.)
Provide specific dates you worked in both 2014 and 2015.
Provide the total number of hours worked for ECCC in 2014 and 2015.
(please use your permanent mailing address)

 

If you change your address or phone number after sending in this form, please contact the Settlement Administrator at 866-854-4173 or Class Counsel at 206-388-5887. If you do not update your contact information, you may not receive your payment.