IL AG v Veryable, Inc. Claim Form - IL Veryable Settlement

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CLAIM FORM

People of the State of Illinois v. Veryable, Inc.

This Claim Form must be returned or submitted online by September 2, 2025 to receive your first payment shortly after October 1, 2025. You may also submit a late Claim Form up until January 4, 2027.

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Electronic payment options are available only online. If you do not select a payment option online, you will receive a paper check at the address on this form.

Please select the Payment Option by which you would like to receive your payment and complete the steps as prompted. YOU MUST COMPLETE THE CLAIM FORM AFTER YOU’VE SELECTED YOUR PAYMENT OPTION.

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I verify that this information is correct and that I waive my right to bring suit as described above and covering the time period set forth above.

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