Submit Claim | Google Plus Profile Litigation

1. You may be eligible to receive a cash payment if you submit this Claim Form.

Settlement Class Members who submit a Claim may be eligible to receive cash payments in an amount up to a maximum of $12.00, depending on the total number of Claimants. Each Settlement Class Member is allowed to submit no more than one claim, regardless of the number of Google+ accounts the Class Member had.

Settlement Class Members whose Claims are determined to be valid will receive their payments via the Electronic Payment method specified below. Claimants must fully complete all sections of this form.

2. Name and Contact Information of Claimant

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Primary Email Address to use for communications with Settlement Administrator *

Email address associated with Claimant’s Google+ account *

3. Election of Electronic Payment Format

Please indicate your preferred method of payment and provide the required Electronic Payment information. Please choose only one of the below options. *

Paypal

Provide Your PayPal Account Email Address

Digital Payment (ACH)

4. Details Concerning Eligibility

You must be able to check all of the following boxes in order to be eligible to receive a settlement payment. Check each box below that represents a true statement about your use of Google+.

I was a user of the consumer Google+ service while a resident of the United States at some point during the period from January 1, 2015 to April 2, 2019;

My Email address associated with my Google+ account was .

I entered private (meaning non-public) information in at least one of my Google+ profile fields that was not set to be shared publicly; and

Either I shared that information with another Google+ user through the Google+ service or I authorized an app to access my Google+ profile field information.

5. Verification

By signing below and submitting this claim form I hereby affirm under oath that: (1) I am 18 years of age or older; (2) I am the person identified above (or, if the person identified above is a minor, I am the parent or guardian of that person); and (3) the information provided in this Claim Form is, to the best of my knowledge, true and correct.

Signature *

Date

THIS CLAIM FORM MUST BE SUBMITTED ON THE SETTLEMENT WEBSITE NO LATER THAN OCTOBER 8, 2020.

* Required Fields

GOOGLE PLUS PROFILE LITIGATION

CASE NO. 5:18-CV-06164-EJD (VKD)

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA

Your Claim Form has been submitted successfully.

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
City
State
Zip Code
Primary Email Address to use for communications