To make a claim for a possible payment pursuant to the Settlement of this action, please complete the Claim Form and mail it to the Claims Administrator at the address indicated on the first page of the form, postmarked on or before October 15, 2024; or complete this online form on or before October 15, 2024.

Instructions:

1. Every co-tenant who signed your lease or leases for any apartment that is subject to the Settlement sign and submit a separate Claim Form.
2. Failure to submit a fully completed form to the appropriate address by the deadline will result in forfeiture of any cash payment to which you might otherwise be entitled.

NOTICE: By signing the form, you are stating, representing and warranting, under penalty of perjury, that you are a person who signed one or more leases for the apartment(s) you identify on the form, or an authorized legal representative of such a person within the meaning of paragraph 3(e) of the Stipulation and Agreement of Settlement in this Action, who is entitled to file a claim for rent reimbursement relating to the apartment(s) you identify on the form, and that you have not sold, assigned, pledged, transferred or lost through bankruptcy, divorce proceeding or, to the best of your knowledge, by any other operation of law, the right to receive the full reimbursement that may be available to you under the Settlement.

REMINDER: You must sign the form and mail it postmarked on or before October 15, 2024, to the Claims Administrator at the address on the first page of the form, or complete the online form on or before October 15, 2024. Failure to submit a fully completed form to the appropriate address by that date will result in forfeiture of any cash payment to which you might otherwise be entitled.