Basile v. Stream Energy Pennsylvania, LLC, et al.

Case No: 1:15-CV-01518-YK

United States District Court for The Middle District of Pennsylvania

Claimant Information


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*Were you a Pennsylvania resident when you were on a Stream Energy Variable Rate Electricity Plan?

 Yes

   

 No

SIGNATURE


I wish to participate in the class action settlement in Basile v. Stream Energy Pennsylvania, LLC, et al., Case No. 1:15-CV-01518, In the United States District Court for the Middle District of Pennsylvania (the “Action”).

I declare under penalty of perjury under the laws of the Commonwealth of Pennsylvania that all information I provided in this Claim Form and, as applicable, in support of my claim is true to the best of my knowledge and belief. I further declare under penalty of perjury that:

  • (i) I am a Class Member as defined above
  • (ii) I further acknowledge that submission of this claim form waives any and all rights I might otherwise have to opt out of the settlement of the Action and bring a lawsuit individually.