UTZ QUALITY FOODS SETTLEMENT

Case No.: 1:14-CV-14744-DPW

United States District Court for the District of Massachusetts

GENERAL INSTRUCTIONS


Settlement Class Members who seek payment from the Settlement must complete this Claim Form. Claim Forms must be SUBMITTED NO LATER THAN 11:59 P.M. EST., JULY 28, 2019, or they will be rejected.

Before you complete and submit this Claim Form, you should read and be familiar with the Class Notice (the “Notice”) and the Settlement Agreement available on Important Documents section of this website.

By submitting this Claim Form, you acknowledge that you have read and understand the Notice, and you agree to the Release included as a material term of the Settlement Agreement.

If you fail to submit a timely Claim Form, your claim will be rejected and you will be precluded from any recovery from the Settlement Fund. If you are a member of the Settlement Class and you do not timely and validly seek exclusion from the Settlement Class, you will be bound by any judgment entered by the Court approving the Settlement even if you do not submit a Claim Form.

The Settlement Administrator has the right to request verification of the purchase of Eligible Products, including, but not limited to, documentation demonstrating purchase of any or all of the Eligible Products purchased during the Class Period. If a Class Member does not timely comply with and/or is unable to timely produce documentation to substantiate and/or verify the information on the Claim Form, the Claim shall be disqualified.


Limit 1 Claim Form per Person, and Limit 1 Claim Form per Household.

All claims are limited to a maximum of 10 Eligible Products per Claim Form.

If you submit your Claim Form and need to make a correction, please contact the Settlement Administrator at info@UTZSettlement.com

It is your responsibility to notify the Settlement Administrator of any changes to your contact information after the submission of your Claim Form.


SECTION A. CLASS MEMBER INFORMATION




SECTION B. PURCHASE INFORMATION


What is the total number of the Eligible Products that you purchased at any time from December 30, 2010 to March 30, 2019? Click HERE to review a list of the Eligible Products.

SECTION C. SIGN AND DATE YOUR CLAIM FORM


I declare under penalty of perjury that the information in this claim form is true and correct to the best of my knowledge and that I purchased the amount of Eligible Product(s) claimed above during the Class Period. I understand that my claim form may be subject to audit, verification, and Court review.

06/19/2019

(Type your name here to electronically sign your Claim Form)