Exclusion Form

Exclusion Form




This website is authorized by the Court, supervised by counsel and controlled by Kroll Settlement Administration LLC, the Settlement Administrator approved by the Court. This is the only authorized website for this case.
Call
(833) 425-7847
Mail
Smith v. Assurance IQ, LLC Kroll Settlement Administration LLC
PO Box 5324
New York, NY 10150-5324

Submit Claim

Click here to safely and securely submit a Claim Form.

Exclusion Form

Click here to safely and securely submit a Exclusion Form.

Important Dates

  • Exclusion Deadline

    Wednesday, July 31, 2024 You must complete and mail your request for exclusion form so that it is postmarked no later than Wednesday, July 31, 2024.
  • Objection Deadline

    Wednesday, July 31, 2024 You must mail your objection(s) and/or notice of intent to appear at the Final Approval Hearing so that it/they are postmarked no later than Wednesday, July 31, 2024.
  • Claim Form Deadline

    Wednesday, July 31, 2024 You must submit your Claim Form online no later than Wednesday, July 31, 2024, or mail your completed paper Claim Form so that it is postmarked no later than Wednesday, July 31, 2024.
  • Final Approval Hearing

    Tuesday, September 3, 2024 The Final Approval Hearing is scheduled for Tuesday, September 3, 2024. Please check this website for updates.

Having Trouble?

Having trouble opening .pdf files? You can download Acrobat Reader  for free from www.adobe.com.

Copyright © 2024 Kroll Settlement Administration LLC - All Rights Reserved. This site is designed and developed by Kroll Settlement Administration LLC - Privacy Policy