You can submit a Claim Form in one of three ways:

Online: Complete, e-sign, and submit an electronic Claim Form by clicking here on or before [DATE], 2014

By Email: Complete, sign, and email the Claim Form (available here) to [TBD] by [DATE], 2014, or

By Mail: Complete, sign, and mail the Claim Form (available here) by U.S. Mail to the Class Administrator at [ADDRESS], postmarked by [DATE], 2014.