BORDERS v. WALMART SETTLEMENT

Claim Form

You have two options for filing a claim for money from the settlement:

1) print the Claim Form and submit it by email
2) print the Claim Form and submit it by U.S. Mail



If you submit your claim online: ALL REQUIRED FIELDS MUST BE COMPLETED BEFORE THE FORM IS SUBMITTED, INCLUDING THE AFFIRMATION AND SIGNATURE PAGE. YOUR CLAIM WILL NOT BE SUBMITTED UNTIL AFTER YOU ELECTRONICALLY SIGN THE CLAIM AND PRESS THE [BLUE “SUBMIT” BUTTON].

Please print the verification page for your records. This page contains a summary of your answers and your claim number.

To submit your claim via email or U.S. Mail please use the link above to print a hard copy version of the Claim Form. You must complete the Claim From and return it to the Claims Administrator no later than February 10, 2020. The Claim Form may be emailed to info@WalmartPregnancyAccommodationSettlement.com or postmarked and mailed to the Claims Administrator by February 10, 2020 to:

Borders v. Wal-Mart Class Action
c/o A.B. Data, Ltd.
PO Box 173086
Milwaukee, WI 53217


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