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When you have completed the form, click the [Submit Form by Email] button.

oacKgrouna may oe requesrea, ana mar 1 may oe reqmrea IO prov10e sucn mrormauon 111 oraer IO

be eligible to receive any award the Court may order in this lawsuit, and that filling out this Interest-in-Relief Form does not guarantee that I will receive any individual relief award in this lawsuit.

I CERTIFY under penalty of pe1jury that the foregoing is true and correct.

Signature: Date: --------Electronic signat11re accepted

Printed Name:

Email your Interest-in-Relief Form by [DATE} to Comm11nitv.MichiganDOC@11sdo/.gov.

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Cancel Emailing Interest-in-... 9 ....,..,

To: Community. ichiganDOC... 0

Cc/Bee, From:

SubJect: Emailing lnterest-in­Relief_Form_12162020(1) .pdf

lnterest-in-... 2020(1).pdf

984 KB

 

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