Circle Group Opt-Out [english]


 SETTLEMENT OPT-OUT FORM

COMPLETING THIS FORM MEANS YOU WILL NOT RECEIVE ANY MONEY FROM CIRCLE GROUP FOR UNPAID WAGES AND OVERTIME PREMIUMS.

IF YOU WANT TO BE PART OF THE CLASS FOR ALLEGEDLY UNPAID WAGES AND OVERTIME PREMIUMS AND RECEIVE MONEY, DO NOT COMPLETE AND RETURN THIS FORM. INSTEAD, COMPLETE AND RETURN THE ELECTRONIC CLAIM FORM.

If you submit both the OPT-OUT and the ELECTRONIC CLAIM forms, your CLAIM form will be honored and this OPT-OUT form will be ignored.

INFORMATION ABOUT YOU

 

Your Name:  

Address:  

City: State:   Country: Zip Code:

Telephone number:  

NOT BEING PART OF THE CLASS

(OPTING OUT OF THE COLORADO STATE LAW CLASS FOR ALLEGEDLY UNPAID WAGES)

By signing above, you understand that you will not be part of the class in the case of Solis v. The Circle Group and that you will not receive any money from that settlement, but that you may be able to bring another lawsuit on your own behalf by hiring your own attorney. There is no guarantee of success or payment if you file your own lawsuit.

HOW DO I SUBMIT THIS FORM AND HOW CAN I GET MORE INFORMATION?

All forms in response to this notice (opt-in/claims forms and opt-out forms) should be digitally submitted via an electronic signature or by telephone, fax, or email. If you have problems with digital submission or any other questions about this case, please contact Optime using the contact information below. All objections should be mailed to the settlement administrator at its address below.

Circle Group Settlement Administrator

c/o Optime Administration, LLC

P.O. Box 3206

Brockton, MA 02304

Phone: 844-625-7313

Fax: 781-287-0381

Email: circlegroupsettlement@optimeadmin.com

PLEASE DO NOT CALL THE COURT OR THE CLERK OF THE COURT.

WHAT IS THE DEADLINE TO SEND THIS FORM?

The deadline to digitally submit his form to Optime Administration is on or before [Opt-Out Deadline].

 

Sign Below to Not Be Part of the Claim for Allegedly Unpaid Wages against Circle Group:

Signature Date:

Leave this empty:

Circle Group Settlement https://circlegroupsettlement.com
Signature Certificate
Document name: Circle Group Opt-Out [english]
Unique Document ID: 2c422478e573baa2fa1152ddf8ac23eee440168a
Timestamp Audit
September 18, 2017 9:41 pm ESTCircle Group Opt-Out [english] Uploaded by Scott Simpson - ssimpson@optimeadmin.com IP 71.192.72.70