Google Referrer Header Privacy Settlement Claim Form
This Claim Form is used to apply for a settlement payment from the Google Referrer Header Privacy Litigation. It is essential for individuals who used Google between October 25, 2006, and September 30, 2013. Complete the required fields to ensure your eligibility for the settlement payment.
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How do I fill this out?
To fill out this Claim Form, gather your personal information and the details of your internet activity during the Class Period. Ensure that all required fields are complete and accurate before submission. Follow the instructions carefully to help expedite the processing of your claim.
How to fill out the Google Referrer Header Privacy Settlement Claim Form?
1
Gather your personal information and the details of your internet activity during the Class Period.
2
Complete all required fields marked with an asterisk (*) on the Claim Form.
3
Review your information for accuracy and completeness.
4
Sign and date the form where indicated.
5
Submit the completed Claim Form by the deadline provided.
Who needs the Google Referrer Header Privacy Settlement Claim Form?
1
Individuals who submitted a Google search query and clicked on a search result.
2
People located in the United States during the Class Period.
3
Claimants looking for financial compensation from the settlement.
4
Consumers concerned about privacy violations related to their search history.
5
Former Google users wishing to participate in the class action settlement.
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What are the instructions for submitting this form?
To submit this Claim Form, you can send it via mail to the following address: In re Google Referrer Header Privacy Settlement, ATTN: Claim Form, c/o Kroll Settlement Administration, P.O. Box 225391, New York, NY 10150-5391. Alternatively, you can submit your Claim Form online at www.RefererHeaderSettlement.com. Ensure that submissions are postmarked or submitted electronically by the deadline of July 31, 2023.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the form include July 31, 2023, as the submission deadline for the Claim Form, and the class period occurring between October 25, 2006, and September 30, 2013. Make sure to stay updated on any additional changes or deadlines announced through the settlement website.
What is the purpose of this form?
The purpose of this form is to allow individuals who interacted with Google between the specified dates to claim their portion of the settlement. It serves as a mechanism for redress for the alleged privacy violations committed by Google. Completing this form accurately is crucial to ensure you receive any compensation you may be entitled to.
Tell me about this form and its components and fields line-by-line.
- 1. First Name: Your first name as it appears on legal documents.
- 2. Middle Initial: Your middle initial, if applicable.
- 3. Last Name: Your last name as it appears on legal documents.
- 4. Mailing Address 1: Street address or P.O. Box.
- 5. Mailing Address 2: Apartment, suite, or floor number.
- 6. City: City of residence.
- 7. State: State of residence.
- 8. Zip Code: Zip code of residence.
- 9. Zip4: Optional additional zip code information.
- 10. Email Address: Current email address for communication.
- 11. Phone Number: Current phone number, optional.
What happens if I fail to submit this form?
Failure to submit this Claim Form may result in your ineligibility for settlement benefits. It is crucial to meet the submission deadlines and provide complete and accurate information to avoid any complications.
- Ineligibility: Without submission, you will not receive any compensation.
- Missing Deadline: Late submissions will be rejected.
- Incorrect Information: Inaccurate details may lead to denied claims.
How do I know when to use this form?
- 1. Eligibility Claims: To assert your eligible status for potential payments.
- 2. Compensation Requests: When seeking financial compensation from the settlement.
- 3. Privacy Concerns: If you have concerns about privacy violations by Google.
Frequently Asked Questions
What is this Claim Form for?
This form is for individuals seeking compensation from the Google Referrer Header Privacy Settlement.
How do I fill out the Claim Form?
Gather relevant information, complete the required fields, review for accuracy, and sign the form.
What information do I need to provide?
You will need to provide personal contact details and affirmation of your eligibility.
How do I submit this Claim Form?
You can submit the form by mail or online through the designated settlement website.
What if I make a mistake on my form?
You can edit the PDF in PrintFriendly before submission to correct any errors.
Are there deadlines for submission?
Yes, ensure your form is postmarked or submitted online by the specified deadline.
Can I save my changes to the PDF?
Yes, after editing your PDF, you can download the updated version.
What happens if I miss the submission deadline?
Missing the deadline could disqualify you from receiving any settlement payment.
Can I submit my form electronically?
Yes, you can submit the Claim Form online through the settlement website.
What if I have questions while filling out the form?
Refer to the instructions provided or reach out to the settlement administrator for assistance.
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