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CLAIM FORM AND RELEASE In re Gilt Group, Inc. Intern Settlement Index No: 151631/2017 INSTRUCTIONS If you want to participate in the Settlement that is described in the NOTICE OF PROPOSED SETTLEMENT

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A PDF claim form is a document submitted electronically or physically in Portable Document Format (PDF) to request reimbursement or financial settlement for expenses incurred.

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Individuals or entities seeking reimbursement for eligible expenses, such as employees, freelancers, or business owners, are typically required to file a PDF claim form.

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The purpose of a PDF claim form is to formally document and request reimbursement for specific expenses incurred during business operations, travel, or other eligible activities.

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Required information typically includes claimant's details, expense categories, amounts spent, receipt attachments, and dates of expenses.

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