T-Mobile Applicant 2015 EIS Data Breach Settlement

Registration Form

Provide your name and contact information below. It may take up to 30 days after registering to receive the code by email, which must be activated within 60 days from date sent.

First Name *

Middle Initial

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Zip4

Email *

Phone Number

Signature *

Signature Date *

By checking this box you are certifying that this information is true and correct pursuant to 28 U.S.C. § 1746.

Registration

Click here to safely and securely submit a Claim Form.

Important Dates

Registration Deadline
Saturday, May 6, 2023 You must submit your Registration Form online no later than Saturday, May 6, 2023.

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T-Mobile Applicant 2015 EIS Data Breach Settlement

Registration

Important Dates

Registration Deadline

Having Trouble?