1Update Your Information2Select Payment Option ClaimFormNoTo print and mail your Claim Form click HERE Verify/Update Personal Information - Step 1CLAIM FORMGIANCRISTOARO vs. IMA PIZZA, LLCST. LOUIS COUNTY STATE OF MISSOURICase No. 23SL-CC04108 Please select whether you want to receive your payment as a check or as an electronic payment. Please note that if you select payment by check, the check will expire 120 days after the date of issuance to you and said amount will be provided in accordance to the state in which you are located in accordance with the escheatment laws of the state in which you are located. All information provided is subject to verification by the Claims Administrator. The Parties have the right to seek discovery to further verify the accuracy of the information contained on this Claim Form. This Claim Form must be postmarked or received by March 18, 2024, or else your claim will not be considered timely. You can submit this electronically at www.OptOutPizzaSettlement.com, email: PizzaSettlement@atticusadmin.com or via mail by sending to &Pizza TCPA Settlement, c/o Atticus Administration, PO Box 64053, Saint Paul, MN 55164.Claimant ID(Required) Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SSN(Required) The Social Security Number is for tax reporting purposes as required by the IRS. For claims with more than one (1) post opt-out text message if your social security number is not provided below your payment may be subject to 24% backup withholding.HiddenmaskedSSN Email(Required) Phone(Required) GIANCRISTOARO vs. IMA PIZZA, LLC Payment Option - Step 2Please select the Payment Option by which you would like to receive your payment and complete the steps as prompted. YOU MUST CONTINUE TO THE NEXT SCREEN TO ELECTRONICALLY SIGN AND FINALIZE YOUR CLAIM. Chosen Payment Method(Required) HiddenPayment Token(Required) Acknowledgement(Required) I certify, under the penalty of perjury, that the above information is true and accurate.
