Hoover v. Hi‐Tech Pharmacal Co., Inc.
Case No. EDCV 13‐00097 JGB (OPx)
CLAIM FORM INSTRUCTIONS
In order for you to qualify to receive payments related to Hoover v. Hi-Tech Pharmacal Co., Inc as described in the Notice of this Settlement (the “Class Notice”), you must complete a Claim Form either in writing or electronically on the Settlement Website and may need to provide certain requested documentation to substantiate your claim.
REQUIREMENTS FOR FILING A CLAIM FORM
Your claim will be considered only upon compliance with all of the following conditions:
- This Claim Form only relates to purchases of Nasal Ease made in the United States between April 1, 2010 and February 25, 2014. Do not complete this Claim Form if you did not make a qualifying purchase of Nasal Ease.
- You may submit only one Claim Form, and two people cannot submit Claim Forms for the same qualifying purchase of Nasal Ease. All Claim Forms must be submitted by February 25, 2014.
- You must accurately complete all required portions of the attached Claim Form.
- You must sign this Claim Form, which includes the Certification Under Penalty of Perjury.
All of the information below is required, including a receipt, where available, for each purchase that you claim. If you do not provide all of the information below, your claim may be denied.