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REQUEST FOR EXCLUSION FROM CLASS (OPTOUT) FORM Lopez v. Home Express Delivery Service, LLC Alameda County Superior Court, Case No. 23CV031371 YOU MUST COMPLETE THIS FORM IF YOU DO NOT WISH TO BE PART

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How to fill out request for exclusion from

01

Determine if you are eligible for exclusion from the specified program or service.

02

Obtain the necessary exclusion request form from the relevant organization or department.

03

Fill out the form completely and accurately, providing all required information.

04

Provide any supporting documentation or evidence as requested, to support your request for exclusion.

05

Submit the completed form and any supporting documents to the designated office or individual for review and processing.

Who needs request for exclusion from?

01

Individuals who no longer wish to participate in a specific program or service.

02

Individuals who believe they meet the criteria for exclusion from a particular program or service.

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Individuals who may face negative consequences or implications if they continue to participate in the program or service.

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What is request for exclusion from?

Request for exclusion from is a formal procedure to request to be excluded or removed from a particular situation or requirement.

Who is required to file request for exclusion from?

The individuals or entities who wish to be excluded from a particular situation or requirement are required to file a request for exclusion.

How to fill out request for exclusion from?

To fill out a request for exclusion, one must provide their personal information, reason for the request, and any supporting documents or evidence.

What is the purpose of request for exclusion from?

The purpose of the request for exclusion is to provide individuals or entities with the opportunity to be removed from a particular situation or requirement that they believe does not apply to them.

What information must be reported on request for exclusion from?

The request for exclusion must include personal information, reason for the request, and any supporting documents or evidence.

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