Your Election Form has been submitted successfully.
Election Form Status – Provisionally Denied – You are not listed as an eligible class member and are not eligible to receive any settlement offerings. The documentation you submitted is under review. A final determination will be made after the claim filing deadline on July 28, 2023. This final determination will be sent to the email address included on your Election form from info@LarsonDataSecurityIncidentSettlement.com. Please update your email account to include this email address is an authorized sender and monitor your junk or spam folders in the event that your security settings or policies erroneously route this final determination email.
Election Form Status – Provisionally Denied – You are not listed as an eligible class member and are not eligible to receive any settlement offerings. You must submit supporting documentation that illustrates you were an employee of Aditi Consulting at the time the system was compromised in the December 9, 2021, Data Security Incident. A copy of the initial notice sent to you from Aditi Consulting notifying you of the data incident will be considered sufficient evidence. Other forms of documentation must include information that would lead a reasonable person to conclude that more likely than not, you suffered losses as a result of the Aditi Consulting Data Security Incident. If you fail to submit this documentation a final claim determination notice will be sent to the email address included on your Election form from info@LarsonDataSecurityIncidentSettlement.com. Please update your email account to include this email address is an authorized sender and monitor your junk or spam folders in the event that your security settings or policies erroneously route this final determination email.
Please print this page for your records.
Your Claim Details | |
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Submitted Claim ID: | |
Confirmation Code: | |
You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records. | |
CLAIM INFORMATION | |
First Name | |
Last Name | |
Street Address | |
Street Address 2 | |
City | |
State | |
Province | |
Zip Code | |
Postal Code | |
Country | |
Email Address | |
Phone Number |
Signature | |
Date |
If you have any questions regarding your Election Form, please provide the Submitted Claim ID listed above and email us at Info@LarsonDataSecurityIncidentSettlement.com
Click here to edit your Election Form.