You may locate your Claim ID and Confirmation Code at the top of the e-mail you received or on the front of the Postcard you received. Click HERE to see an illustration of the e-mail location, click HERE to see an illustration of the Postcard location.

If you received a personalized notice in the mail or via email with a Claim ID and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Claim ID exactly as it appears on your personalized Notice, (i.e. 12345678).

If you do not have your Claim ID and Confirmation Code, click below to verify your eligibility by looking up your information in the Settlement Class List. In order to be included on the Settlement Class List you must have had personal identifiable information (“PII”) that was compromised in Aditi Consulting’s Data Security Incident and you would have received an initial notification of the Data Security Incident from Aditi Consulting. The information you submit below, must match the Defendant’s records at the time Aditi Consulting sent your initial notification of the Data Security Incident. If the information you submit does not result in a positive match with the Defendant’s records, please verify that the information you are submitting includes your full name, email address and physical address at the time Aditi Consulting’s system was compromised in the December 9, 2021, Data Security Incident.

The deadline for submitting this Election Form is

Please add the email, Info@LarsonDataSecurityIncidentSettlement.com, to your contact list to ensure that future correspondence is delivered to your inbox.

The Settlement Class is defined as all persons who received notice that their personally identifiable information was compromised in Aditi Consulting’s Data Security Incident. You may submit this Election Form only if you are a Settlement Class Member in the above action.

As a member of the Settlement Class, if you do not submit a timely request for exclusion from the Settlement Class, you are entitled to obtain coverage under IDX’s plan for a two-year period at Aditi Consulting’s cost.

Settlement Class Members who elect to receive coverage under IDX’s plan will receive enrollment information for coverage under IDX’s plan for a two-year period.

Contact Information

* Required Fields

Supporting Documentation

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected.

Please confirm in the grid below that your file has been successfully uploaded.

File List: No Files Selected

    Fill Out and Sign the Following Attestation

    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
    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.