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REQUEST FOR EXCLUSION (OPTOUT) FORM UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Buffington v. Progressive Advanced Ins. Co. Case No. 20cv07408 IF YOU WANT TO BE INCLUDED IN THIS CLASS

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How to fill out request for exclusion opt-out

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Locate the request for exclusion opt-out form on the website or platform.

02

Fill in your personal information such as name, contact details, and account number if applicable.

03

Specify the reason for your request for exclusion opt-out.

04

Sign and date the form to confirm your request.

05

Submit the form through the designated method provided on the website or platform.

Who needs request for exclusion opt-out?

01

Individuals who no longer wish to receive communications or be part of a specific program or service may need a request for exclusion opt-out.

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What is request for exclusion opt-out?

A request for exclusion opt-out is a formal petition that allows individuals or entities to exclude themselves from a particular program or regulatory requirement, typically related to environmental regulations or settlements.

Who is required to file request for exclusion opt-out?

Individuals or entities who wish to exempt themselves from the obligations or benefits of a specific regulatory program or settlement are required to file a request for exclusion opt-out.

How to fill out request for exclusion opt-out?

To fill out a request for exclusion opt-out, one must complete a designated form that often includes personal or organizational information, reasons for opting out, and signature. Specific submission guidelines should be followed as outlined by the governing body.

What is the purpose of request for exclusion opt-out?

The purpose of a request for exclusion opt-out is to provide a mechanism for individuals or entities to decline participation in certain programs or settlements that they do not wish to be part of.

What information must be reported on request for exclusion opt-out?

The request typically requires submission of identification details (name, address), reasons for opting out, relevant case or program identifiers, and any supporting documentation as necessary.

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