Point Park University Settlement

SETTLEMENT CLASS MEMBER INFORMATION FORM

For the Class Members, payment will be sent automatically by First Class U.S. Mail to the last known mailing address on file with the University Registrar.

Class Members also have the option, but are not required, to complete this Information Form to choose one or more of the following options: (a) provide an updated address for sending a check; (b) elect to receive the Settlement Benefit by Venmo or PayPal instead of a paper check; or (c) elect to have the Settlement Benefit applied to your PPU student account.

You may also notify the Settlement Administrator by emailing to info@PPSettlement.com, calling toll-free 1-877-888-6613, or by writing to the Settlement Administrator at Point Park University Covid Settlement, c/o A.B. Data, Ltd., P.O. Box 173006, Milwaukee, WI 53217.

SETTLEMENT CLASS MEMBER INFORMATION

Full Name: *

Mailing Address (Street, PO Box, Suite, or Office Number): *

Country: *

City: *

State/Territory: *

Zip: *

*A valid mailing address must be provided to receive a check. If the address you have on file changes, it is your responsibility to provide accurate contact information to the Settlement Administrator to receive a payment.

ADDITIONAL INFORMATION

Notice ID: *

* Your Notice ID is located on the upper right-hand corner on the Settlement Notice that was emailed or mailed to you. If you do not know your Notice ID, please contact the Settlement Administrator by calling toll-free, 1-877-888-6613, or by emailing info@PPSettlement.com.

Email Address:

* A valid email address must be provided to receive digital payment. If the email address you have on file changes or becomes invalid for any reason, it is your responsibility to provide accurate contact information to the Settlement Administrator to receive a payment.

Telephone Number:

If you would like to request a digital payment instead of a paper check, please check the box below.

I request to have my Settlement Benefit be in the form of a digital payment. (not required)

If you would like to request a credit to your PPU student account instead of a paper check, please check the box below.

I request to have my Settlement Benefit be applied as a credit to my PPU student account. (not required)