CLAIM FORM FOR BASIC ACCOUNT HOLDERS
USE THIS FORM TO MAKE A CLAIM FOR CREDIT MONITORING SERVICES OR AN ALTERNATIVE CASH PAYMENT AND A CLAIM FOR OUT-OF-POCKET COSTS
If you had a Yahoo account between January 1, 2012, and December 31, 2016, you are a “Settlement Class Member.” If you received an emailed notice from the Settlement Administrator about this class action settlement addressed to you, then the Settlement Administrator has already determined that you are a Settlement Class Member.
If you are a Settlement Class Member, you may make a claim for a minimum of two years of Credit Monitoring Services at no cost to you by filling out this Claim Form. Credit Monitoring Services are designed to help protect you from possible unlawful use of your personal information that was potentially compromised as a result of the Yahoo Data Breaches. Credit Monitoring Services will provide you with alerts if someone is unlawfully using your personal information, and other valuable identity protection services. Credit Monitoring Services will only be provided once per person, rather than once per account.
If you can verify that you already have credit monitoring or identity protection services that you will keep for at least 12 months, you may instead make a claim for a cash payment in an amount of $100, although that amount may be less or more up to $358.80, depending on how many claims are submitted.
ALTERNATIVE COMPENSATION CLAIMS MAY REQUIRE VERIFICATION AND DOCUMENTATION.
In addition, if you believe you spent money or lost time or money related to the Data Breaches, then you may make a claim for reimbursement. The Settlement consists of a fund of $117.5 million to pay all valid Claims of all Settlement Class Members—including claims for Out-of-Pocket Costs, and for fees paid by Paid Users and Small Business Users. The Settlement Fund will also be used to pay for Credit Monitoring Services or Alternative Compensation for those who already have credit monitoring; the costs of class notice and settlement administration; and court-approved Class Representative Service Awards and attorneys’ fees, costs, and expenses. To the extent all such amounts exceed $117.5 million, then the amount of each claim for Alternative Compensation, Out-of-Pocket Costs, and for fees paid by Paid Users and Small Business Users will be reduced proportionally (by a percentage) until the total payments exhaust the Settlement Fund.
For your claim to be considered, you must fully complete this Claim Form.
The Settlement Administrator will use this information for all communications about this Claim Form and the Settlement. If this information changes, you
MUST notify the Settlement Administrator of the changes in writing.
Yahoo accounts you held between January 1, 2012 and December 31, 2016:
To obtain Credit Monitoring Services or Alternative Compensation from the Settlement, you must select
ONE AND ONLY ONE of the options below and submit this Claim Form online.
IV. OUT-OF-POCKET COSTS GENERAL INSTRUCTIONS
If you believe you spent money or lost time or money related to the Data Breaches, then you may make a claim for reimbursement. Out-of-Pocket Costs incurred from January 1, 2012 to the present which may be eligible for reimbursements include, but are not limited to:
The costs of credit monitoring or identity protection services you obtained (up to the date on which Credit Monitoring Services become available through this Settlement).
Unreimbursed losses, fees, or charges incurred as a result of identity fraud or theft connected with the possible misuse of your name, email address, telephone number, birth date, password, and security questions at Yahoo, or from contents of your email account, such as financial communications and records containing credit cards, retail accounts, banking, account passwords, IRS documents, and social security numbers from transactions conducted by email (“Personal Information”).
Professional fees and other costs incurred addressing identity fraud or theft, including falsified tax returns or other identity fraud or theft, connected with the possible misuse of your Personal Information.
Costs associated with credit freezes.
Miscellaneous expenses such as notary, fax, postage, copying, mileage, and long-distance charges that you show were incurred in connection with identity fraud or theft connected with the possible misuse of your Personal Information.
If you can adequately document identity fraud or theft connected with the possible misuse of your Personal Information you may be eligible for reimbursement of up to fifteen hours of time spent remedying issues related to one or more of the Data Breaches (calculated at $25 per hour, or time off work at your documented hourly wage, whichever is greater), or, if you cannot provide documentation, up to five hours of time spent remedying issues related to one or more of the Data Breaches, at $25 per hour, or time off work at your documented hourly wage, whichever is greater.
This list provides examples only, and other costs due to one or more of the Data Breaches may also be eligible for reimbursement. However, YOU MUST BE ABLE TO DOCUMENT YOUR CLAIM.
The Settlement Administrator has the sole authority to determine the validity of claims for Out-of-Pocket Costs. Only valid claims will be paid. To the extent only portions of the claim can be adequately documented and validated, only those portions will be paid. To the extent the amounts required to fund valid claims exceed the amount of the Settlement Fund, the cash payments for the valid claims will be reduced on a
pro rata basis.
Fill out the below to claim costs relating to the Yahoo Data Breaches (upload additional pages as needed):
VI. CLAIMS FOR ADDITIONAL TIME
If, in addition to the above, you spent time addressing issues related to one or more of the Data Breaches, you may be compensated at $25 per hour or unpaid time off work at your actual hourly rate, whichever is greater, for up to 15 hours, for documented claims. If you cannot provide documentation, you may be compensated at $25 per hour or unpaid time off work at your actual hourly rate, whichever is greater, for up to 5 hours.
If you spent time remedying issues relating to one or more of the Yahoo Data Breaches, please indicate the number of hours here:
If you took unpaid time off work, please provide documentation of the number of hours that you took off work, and your hourly age.
Please explain in detail how this time was expended and why it was necessary:
Please also provide any available documentation of the potential fraud and/or identity theft that made this expenditure of time necessary (i.e. letter from IRS or bank; police report).
If I am eligible for any cash compensation, and if approved, I wish to receive my payment by (Select only one option):
*If you select Direct Deposit, you will be contacted at the email address provided above prior to the distribution of payments to provide your banking information via a secure site to initiate your payment. You must provide your email address so the Settlement Administrator can contact you.
I hereby certify under penalty of perjury that I have personal knowledge of all of the information I provided in this Claim Form and that such information is true and correct to the best of my knowledge.