Claim Form – City of Normandy Class Action

Davis, et al. v City of Normandy Settlement Claim Form

This Claim Form must be submitted online by August 6, 2022.
ClaimFormNo
Claimant ID*
1. CLASS MEMBER INFORMATION
Name:*
First Last
Current Mailing Address:*
Street Address Address Line 2 City State Zip Code
Phone:*
2. CLAIM INFORMATION
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hidden_arrested
Hidden
hidden_fined
Hidden
hidden_warrant
Our records indicate that you:
arrested
fined
warrant
Cash Payment Award
Cash Payment Award*
- I wish to receive a cash payment award. *
* If you are a member of Class 1, you will receive $7.50 per hour for hours 6-48 of your arrest and $15.00 per hour for any additional hours.
* If you are a member of Class 2-A, you will receive up to $60.00.
* If you are a member of Class 2-B, you will receive up to $20.00.
* Class members will not be compensated for membership in BOTH Class 2-A and 2-B: if a Class Member is in Both Class 2-A or 2-B, they will be be compensated as a 2-A member.
Please select the Payment Option by which you would like to receive your cash payment award and complete the steps as prompted.
Chosen Payment Method*
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PaymentToken
Please Certify*
- I hereby give assurances that the information I am providing is correct.
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Unique ID
Phone
This field is for validation purposes and should be left unchanged.

City of Normandy Class Action