Edit, Download, and Sign the 1964 and 1980 Pembina Judgment Fund Settlement Notice

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How do I fill this out?

To fill out this form, start by reviewing your eligibility as a class member. Gather the necessary documentation required for submission. Follow the detailed instructions to complete and submit your claim or objection accordingly.

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How to fill out the 1964 and 1980 Pembina Judgment Fund Settlement Notice?

  1. 1

    Review your eligibility as a class member.

  2. 2

    Gather required documentation.

  3. 3

    Complete the form with accurate information.

  4. 4

    Submit the form before the deadline.

  5. 5

    Keep a copy of your submission for your records.

Who needs the 1964 and 1980 Pembina Judgment Fund Settlement Notice?

  1. 1

    Original Individual Beneficiaries of the Pembina Judgment Fund need this form to claim their share of the settlement.

  2. 2

    Legal representatives of settlement class members must use this form to submit claims on behalf of their clients.

  3. 3

    Eligible heirs to deceased original beneficiaries need this file to outline their claims for the distribution of funds.

  4. 4

    Individuals intending to object to the settlement must complete this form to express their concerns.

  5. 5

    Community members interested in understanding the settlement process can benefit from this information.

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What are the instructions for submitting this form?

To submit this form, ensure it is fully completed with accurate information. Mail it to the Pembina Settlement Administrator at P.O. Box 995, Mequon, WI 53092. For inquiries, you may also contact the Settlement Administration Information Telephone Line at (833) 999-9915 for further assistance.

What are the important dates for this form in 2024 and 2025?

Important dates for the 2024 submission include April 29 for opt-out requests and June 10 for the fairness hearing. In 2025, keep an eye on any potential revisions and settlement distributions that may occur following prior hearings. Always refer to the settlement website for the most updated information.

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What is the purpose of this form?

The purpose of this form is to inform eligible beneficiaries and their legal representatives about their rights within the Pembina Judgment Fund settlement. It provides essential information about claims and how to object should any party disagree with the terms of the class action settlement. This form is a crucial document for ensuring that all eligible parties can effectively participate in the settlement process.

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Tell me about this form and its components and fields line-by-line.

The form includes various fields that must be filled out by the claimant.
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  • 1. Name: The full name of the claimant or representative.
  • 2. Address: The current address of the claimant or representative.
  • 3. Date of Birth: The date of birth of the claimant or heir.
  • 4. Proof of Identity: Documentation validating the identity of the claimant.
  • 5. Proof of Heirship: Documentation evidencing the claim to inheritance.

What happens if I fail to submit this form?

Failing to submit this form by the deadline may result in the forfeiture of your rights to claim funds. This means that eligible beneficiaries may lose their opportunity to receive distributions from the settlement. Legal representatives and heirs should be particularly cautious to ensure submissions are made on time.

  • Loss of Rights: Risk of losing the ability to claim settlement funds.
  • Inability to Object: Missed chance to voice objections regarding the settlement.
  • Missed Deadlines: Submissions not made on time will not be considered.

How do I know when to use this form?

You should use this form when you believe you are a beneficiary of the Pembina Judgment Fund or when acting on behalf of an eligible heir. This form is necessary for submitting your claim, objection, or request for exclusion from the settlement. It is also essential for legal representatives acting on behalf of class members.
fields
  • 1. Claim Submission: For submitting claims related to the Pembina Judgment Fund.
  • 2. Objection Filing: To file a formal objection to the terms of the settlement.
  • 3. Exclusion Request: If a beneficiary wishes to opt-out from the settlement class.

Frequently Asked Questions

Who qualifies to use this form?

Original beneficiaries, legal representatives, and eligible heirs qualify to use this form.

How can I submit this form?

You can submit it by mail or through the settlement administrator's designated email.

Is there a deadline for submitting the form?

Yes, submissions must be postmarked before April 29, 2021.

What if I have questions while filling out the form?

You can call the helpline for assistance or refer to the FAQs on the official website.

Can I submit objections electronically?

No, objections must be mailed in; electronic submissions are not accepted.

What happens after I submit the form?

You will receive confirmation of your submission and further instructions.

Is there a fee to submit this form?

No, there is no fee for submitting your claim or objection.

What should I do if my information changes?

Notify the settlement administrator immediately with the updated information.

Where can I find more information about the settlement?

Visit the official settlement website for detailed information regarding the settlement.

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