IF YOU WANT TO BE EXCLUDED FROM THE CLASS IN THIS LITIGATION, YOU MUST COMPLETE, SIGN AND SUBMIT THIS EXCLUSION FORM POSTMARKED ON OR BEFORE FEBRUARY 21, 2017
I wish to be excluded from the Class in Brown v. Wal-Mart Stores, Inc., Northern District of California Case No. 5:09-CV-03339-EJD
I understand that in asking to be excluded from the class in this case, I will not receive any benefits from any judgment or settlement obtained by the class.
1. Claimant Information
Questions? Call (800) 784-2174
Deadline: Your Exclusion Form must be received by the Settlement Administrator by February 21, 2017, to be excluded from the settlement class.