Gaston, et al. v. FabFitFun, Inc.

Case No. 2:20-cv-09534-RGK-E

United States District Court, Central District of California

If you received a personalized notice in the mail or via email with a Notice ID/Notice Type and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Notice ID/Notice Type exactly as it appears on your personalized Notice, (i.e. 12345678).

Please note that this claims portal is scheduled to close on Pacific Time.

SETTLEMENT CLAIM FORM

Please click the link for GENERAL INSTRUCTIONS

This Claim Form should be filled out online or submitted by mail if you engaged in a relevant transaction on FabFitFun’s website during the time period of April 26, 2020 to May 14, 2020 or May 22, 2020 to August 3, 2020.

You may receive a payment if you properly and timely complete this Claim Form, the Settlement is approved, and you are found to be eligible for a payment.

The Class Notice describes your legal rights and options. You can obtain the Class Notice and further information about the Litigation, the Settlement Agreement, and your legal rights and options by reading the Notice or by calling (833) 775-1513.

Your claim must be submitted online or postmarked by December 21, 2021 to be considered for payment. You can submit your claim for a settlement award in two ways:

  1. Online by following instructions on this page.
  2. By mail to the Claims Administrator at this address: FabFitFun Settlement, Settlement Administrator, 1650 Arch Street, Suite 2210 Philadelphia, PA 19103.

Only one Settlement Claim may be submitted per Settlement Class Member, regardless of the number of payment methods used or the number of FabFitFun memberships purchased.

1. CLASS MEMBER INFORMATION (REQUIRED)

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected. Please confirm in the grid below that your file has been successfully uploaded.

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    2. PAYMENT ELIGIBILITY INFORMATION (REQUIRED)

    To prepare for this section of the Claim Form, please review the Class Notice and Sections 2.1 through 2.4 of the Settlement Agreement for more information on the types of awards available and rules for receiving an award.

    Settlement Class Members may receive only one of the following types of awards: (1) Basic Award; or (2) Reimbursement Award. Which type of award are you making a claim for (check one)?

    OR

    3. ADDITIONAL INFORMATION REQUIRED FROM SETTLEMENT CLASS MEMBERS SEEKING A REIMBURSEMENT AWARD.

    You must complete this Section 3 if you are seeking a Reimbursement Award. Please provide as much information as possible.

    Examples: Fraudulent charges that were made on your credit or debit card account and that were not reversed or repaid even though you reported them to your bank or credit card company.

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      OR


      250

      I spent this much time (round to the nearest hour and check only one box):

      Examples: You spent at least one full hour calling customer service lines, writing letters or emails, or on the internet trying to get unauthorized charges reversed or reimbursed. Please note that the time it takes to fill out this Claim Form is not reimbursable and should not be included in the total number of hours claimed.


      250

      If you are also seeking reimbursement for Out-of-Pocket Expenses as part of your claim for a Reimbursement Award, complete Section 4. Otherwise, go to Section 6.

      4. ADDITIONAL INFORMATION REQUIRED FROM SETTLEMENT CLASS MEMBERS SEEKING REIMBURSEMENT FOR OUT-OF-POCKET EXPENSES IN CONNECTION WITH A REIMBURSEMENT AWARD.

      Are you seeking Reimbursement of Out-of-Pocket Expenses?

      Check all that apply, stating the total amount you are claiming for each category and attaching documentation of the charges as described below. Round total amounts to the nearest dollar.

      Examples: Overdraft fees, over-limit fees, late fees, charges due to insufficient funds or interest, card reissuance fees.

      Required: A copy of a bank or credit card statement or other proof of claimed fees or charges (you may redact unrelated transactions).

      Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected. Please confirm in the grid below that your file has been successfully uploaded.

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        Examples: Long distance or cell phone charges (if charged by the minute), or data charges (if charged based on the amount of data used).

        Required: A copy of the bill from your telephone company, cell phone company, or internet service provider showing the claimed charges.

        Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected. Please confirm in the grid below that your file has been successfully uploaded.

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          Examples: The cost of purchasing a credit report or placing a credit freeze.

          Required: A copy of a receipt of other proof of purchase for each credit report or credit freeze purchased or placed.

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            Examples: Postage for correspondence with your bank or credit card company about unauthorized charges. The cost of submitting this form is not included.

            Required: A copy of any receipt or proof of purchase for all postage costs claimed showing date, amount and vendor.

            Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected. Please confirm in the grid below that your file has been successfully uploaded.

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              Please select at least one Reimbursement of Out-of-Pocket Expenses category above.

              5. PAYMENT METHOD

              Please select the manner in which payment will be issued for your valid Claims.

              *If you select payment via PayPal, the email address entered on this form will be used to process the payment to your PayPal account linked to that email address. If you do not have a PayPal account, you will be prompted to open an account using the email address entered on this form

              6. CERTIFICATION

              I declare under penalty of perjury under the laws of the United States and the state where this Claim Form is signed that the information I have supplied in this Claim Form is true and correct to the best of my recollection, and that this form was executed on the date set forth below.

              I understand that all information provided on this Claim Form is subject to verification and that I may be asked to provide supplemental information by the Claims Administrator or Claims Referee before my claim will be considered complete and valid.

              Your Claim Form has been submitted successfully.

              HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to: info@FFFdbSettlement.com.

              Please print this page for your records.

              Your Claim Details

              Submitted Claim ID:
              Confirmation Code:
              You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
              CLAIM INFORMATION
              First Name
              MI
              Last Name
              Street Address
              Street Address 2
              City
              State
              Province
              Zip Code
              Postal Code
              Country
              Phone
              Email
              Signature
              Date

              If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at info@FFFdbSettlement.com

              Click here to edit your Claim.