www.attvianuclassactionsettlement.com Open in urlscan Pro
3.227.37.123  Public Scan

Form analysis
2 forms found in the DOM

<form class="needs-validation" id="guard" novalidate="">
  <div class="row">
    <div class="col">
      <p class="text-center mb-5 fs-5"> The deadline to file a claim is <strong style="diplay:inline-block;"> <span class="card-subtitle" id="impdat_0_34aedcdd472f4bf7d0dc">October 29, 2022</span>
          <script>
            var date = new Date("2022-10-30T06:59:59.000Z");
            var localeMoment = moment(date).locale("en");
            var mdt = localeMoment.tz("America/Los_Angeles").format("MMMM DD, YYYY");
            $("#impdat_0_34aedcdd472f4bf7d0dc").append(mdt);
          </script>
        </strong>
      </p>
    </div>
  </div>
  <div class="row fs-5">
    <div class="col-md-5">
      <div class="card text-dark bg-light mb-3">
        <div class="card-body">
          <fieldset id="notice-confirmation">
            <p>If you received a personalized notice in the mail or via email with a <strong class="underline">Notice ID</strong> and <strong class="underline">Confirmation Code</strong>, please enter the codes you were provided below. <sup>1</sup>
            </p>
            <p>Please remember to enter the full Notice ID exactly as it appears on your personalized Notice (For example 12345678).</p>
            <div class="mb-3">
              <input type="text" id="zero_zero_id" class="form-control" name="zero_zero_id" data-validate="required" required="">
              <label for="zero_zero_id">Notice ID <span class="error"></span></label>
            </div>
            <div class="mb-3">
              <input type="text" id="confirmation_code" class="form-control" name="confirmation_code" data-validate="required" required="">
              <label for="confirmation_code">Confirmation Code <span class="error"></span></label>
            </div>
            <div class="mb-3">
              <input type="submit" id="submit-guard" class="btn btn-primary" value="Submit">
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="col-md-2">
      <p class="text-center fw-bold"><u>OR</u></p>
    </div>
    <div class="col-md-5">
      <div class="card text-dark bg-light mb-3">
        <div class="card-body">
          <fieldset>
            <p>If you did not receive a personalized Notice in the mail or via email, or you do not have your Notice ID and Confirmation Code, click below to file a claim without a Notice ID and Confirmation Code.</p>
            <input type="button" id="skip-guard" class="btn btn-primary" value="Click Here">
          </fieldset>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col">
      <p>
        <sup style="font-size: 12px;">1</sup> See sample illustration of <strong>Notice ID</strong> and <strong>Confirmation Code</strong> location from
        <a href="https://angeion-public.s3.amazonaws.com/www.attvianuclassactionsettlement.com/img/Login+Credentials+Illustration.png" target="_blank" rel="noopener noreferrer">Postcard</a> or
        <a href="https://angeion-public.s3.amazonaws.com/www.attvianuclassactionsettlement.com/img/Email+Illustration+-+Login+Credentials.png" target="_blank" rel="noopener noreferrer">Email</a> notification.
      </p>
      <div class="alert alert-warning text-center" role="alert"> Please note that this claims portal is scheduled to close on <strong><span id="deadline_datetime">October 29, 2022 at 11:59:59 P.M.</span> Pacific Time</strong>. </div>
    </div>
  </div>
</form>

<form class="needs-validation d-none" id="form" aria-label="Submit Claim Form" novalidate="">
  <h2 class="text-center my-3">Settlement Claim Form</h2>
  <h3 class="text-center fs-4 text-uppercase">THE DEADLINE TO FILE A CLAIM IS <u>    <span class="card-subtitle" id="impdat_0_631e3827b31d3369ae29">October 29, 2022</span>
    <script>
        var date = new Date("2022-10-30T06:59:59.000Z");
        var localeMoment = moment(date).locale("en");
        var mdt = localeMoment.tz("America/Los_Angeles").format("MMMM DD, YYYY");
        $("#impdat_0_631e3827b31d3369ae29").append(mdt);
    </script>
  </u></h3>
  <p class="text-center fw-bold">TO FILE A CLAIM ENTER YOUR CONTACT INFORMATION AND CLICK “SUBMIT” BELOW.</p>
  <fieldset id="contact-information" class="">
    <legend class="d-none">Contact Information</legend>
    <div class="row mb-3">
      <div class="col-md-6">
        <input type="text" name="first_name" id="first_name" class="form-control" data-validate="required" required="">
        <label for="first_name">First Name *<span class="error"></span></label>
      </div>
      <div class="col-md-6">
        <input type="text" name="last_name" id="last_name" class="form-control" data-validate="required" required="">
        <label for="last_name">Last Name *<span class="error"></span></label>
      </div>
    </div>
    <div class="row mb-3">
      <div class="col">
        <select id="country" name="country" class="form-control" data-validate="required">
          <option value=""></option>
          <option value="USA" selected="selected">United States</option>
          <option value="AFG">Afghanistan</option>
          <option value="ALA">Åland Islands</option>
          <option value="ALB">Albania</option>
          <option value="DZA">Algeria</option>
          <option value="ASM">American Samoa</option>
          <option value="AND">Andorra</option>
          <option value="AGO">Angola</option>
          <option value="AIA">Anguilla</option>
          <option value="ATA">Antarctica</option>
          <option value="ATG">Antigua and Barbuda</option>
          <option value="ARG">Argentina</option>
          <option value="ARM">Armenia</option>
          <option value="ABW">Aruba</option>
          <option value="AUS">Australia</option>
          <option value="AUT">Austria</option>
          <option value="AZE">Azerbaijan</option>
          <option value="BHS">Bahamas</option>
          <option value="BHR">Bahrain</option>
          <option value="BGD">Bangladesh</option>
          <option value="BRB">Barbados</option>
          <option value="BLR">Belarus</option>
          <option value="BEL">Belgium</option>
          <option value="BLZ">Belize</option>
          <option value="BEN">Benin</option>
          <option value="BMU">Bermuda</option>
          <option value="BTN">Bhutan</option>
          <option value="BOL">Bolivia, Plurinational State of</option>
          <option value="BES">Bonaire, Sint Eustatius and Saba</option>
          <option value="BIH">Bosnia and Herzegovina</option>
          <option value="BWA">Botswana</option>
          <option value="BVT">Bouvet Island</option>
          <option value="BRA">Brazil</option>
          <option value="IOT">British Indian Ocean Territory</option>
          <option value="BRN">Brunei Darussalam</option>
          <option value="BGR">Bulgaria</option>
          <option value="BFA">Burkina Faso</option>
          <option value="BDI">Burundi</option>
          <option value="KHM">Cambodia</option>
          <option value="CMR">Cameroon</option>
          <option value="CAN">Canada</option>
          <option value="CPV">Cape Verde</option>
          <option value="CYM">Cayman Islands</option>
          <option value="CAF">Central African Republic</option>
          <option value="TCD">Chad</option>
          <option value="CHL">Chile</option>
          <option value="CHN">China</option>
          <option value="CXR">Christmas Island</option>
          <option value="CCK">Cocos (Keeling) Islands</option>
          <option value="COL">Colombia</option>
          <option value="COM">Comoros</option>
          <option value="COG">Congo</option>
          <option value="COD">Congo, the Democratic Republic of the</option>
          <option value="COK">Cook Islands</option>
          <option value="CRI">Costa Rica</option>
          <option value="CIV">Côte d'Ivoire</option>
          <option value="HRV">Croatia</option>
          <option value="CUB">Cuba</option>
          <option value="CUW">Curaçao</option>
          <option value="CYP">Cyprus</option>
          <option value="CZE">Czech Republic</option>
          <option value="DNK">Denmark</option>
          <option value="DJI">Djibouti</option>
          <option value="DMA">Dominica</option>
          <option value="DOM">Dominican Republic</option>
          <option value="ECU">Ecuador</option>
          <option value="EGY">Egypt</option>
          <option value="SLV">El Salvador</option>
          <option value="GNQ">Equatorial Guinea</option>
          <option value="ERI">Eritrea</option>
          <option value="EST">Estonia</option>
          <option value="ETH">Ethiopia</option>
          <option value="FLK">Falkland Islands (Malvinas)</option>
          <option value="FRO">Faroe Islands</option>
          <option value="FJI">Fiji</option>
          <option value="FIN">Finland</option>
          <option value="FRA">France</option>
          <option value="GUF">French Guiana</option>
          <option value="PYF">French Polynesia</option>
          <option value="ATF">French Southern Territories</option>
          <option value="GAB">Gabon</option>
          <option value="GMB">Gambia</option>
          <option value="GEO">Georgia</option>
          <option value="DEU">Germany</option>
          <option value="GHA">Ghana</option>
          <option value="GIB">Gibraltar</option>
          <option value="GRC">Greece</option>
          <option value="GRL">Greenland</option>
          <option value="GRD">Grenada</option>
          <option value="GLP">Guadeloupe</option>
          <option value="GUM">Guam</option>
          <option value="GTM">Guatemala</option>
          <option value="GGY">Guernsey</option>
          <option value="GIN">Guinea</option>
          <option value="GNB">Guinea-Bissau</option>
          <option value="GUY">Guyana</option>
          <option value="HTI">Haiti</option>
          <option value="HMD">Heard Island and McDonald Islands</option>
          <option value="VAT">Holy See (Vatican City State)</option>
          <option value="HND">Honduras</option>
          <option value="HKG">Hong Kong</option>
          <option value="HUN">Hungary</option>
          <option value="ISL">Iceland</option>
          <option value="IND">India</option>
          <option value="IDN">Indonesia</option>
          <option value="IRN">Iran, Islamic Republic of</option>
          <option value="IRQ">Iraq</option>
          <option value="IRL">Ireland</option>
          <option value="IMN">Isle of Man</option>
          <option value="ISR">Israel</option>
          <option value="ITA">Italy</option>
          <option value="JAM">Jamaica</option>
          <option value="JPN">Japan</option>
          <option value="JEY">Jersey</option>
          <option value="JOR">Jordan</option>
          <option value="KAZ">Kazakhstan</option>
          <option value="KEN">Kenya</option>
          <option value="KIR">Kiribati</option>
          <option value="PRK">Korea, Democratic People's Republic of</option>
          <option value="KOR">Korea, Republic of</option>
          <option value="KWT">Kuwait</option>
          <option value="KGZ">Kyrgyzstan</option>
          <option value="LAO">Lao People's Democratic Republic</option>
          <option value="LVA">Latvia</option>
          <option value="LBN">Lebanon</option>
          <option value="LSO">Lesotho</option>
          <option value="LBR">Liberia</option>
          <option value="LBY">Libya</option>
          <option value="LIE">Liechtenstein</option>
          <option value="LTU">Lithuania</option>
          <option value="LUX">Luxembourg</option>
          <option value="MAC">Macao</option>
          <option value="MKD">Macedonia, the former Yugoslav Republic of</option>
          <option value="MDG">Madagascar</option>
          <option value="MWI">Malawi</option>
          <option value="MYS">Malaysia</option>
          <option value="MDV">Maldives</option>
          <option value="MLI">Mali</option>
          <option value="MLT">Malta</option>
          <option value="MHL">Marshall Islands</option>
          <option value="MTQ">Martinique</option>
          <option value="MRT">Mauritania</option>
          <option value="MUS">Mauritius</option>
          <option value="MYT">Mayotte</option>
          <option value="MEX">Mexico</option>
          <option value="FSM">Micronesia, Federated States of</option>
          <option value="MDA">Moldova, Republic of</option>
          <option value="MCO">Monaco</option>
          <option value="MNG">Mongolia</option>
          <option value="MNE">Montenegro</option>
          <option value="MSR">Montserrat</option>
          <option value="MAR">Morocco</option>
          <option value="MOZ">Mozambique</option>
          <option value="MMR">Myanmar</option>
          <option value="NAM">Namibia</option>
          <option value="NRU">Nauru</option>
          <option value="NPL">Nepal</option>
          <option value="NLD">Netherlands</option>
          <option value="NCL">New Caledonia</option>
          <option value="NZL">New Zealand</option>
          <option value="NIC">Nicaragua</option>
          <option value="NER">Niger</option>
          <option value="NGA">Nigeria</option>
          <option value="NIU">Niue</option>
          <option value="NFK">Norfolk Island</option>
          <option value="MNP">Northern Mariana Islands</option>
          <option value="NOR">Norway</option>
          <option value="OMN">Oman</option>
          <option value="PAK">Pakistan</option>
          <option value="PLW">Palau</option>
          <option value="PSE">Palestinian Territory, Occupied</option>
          <option value="PAN">Panama</option>
          <option value="PNG">Papua New Guinea</option>
          <option value="PRY">Paraguay</option>
          <option value="PER">Peru</option>
          <option value="PHL">Philippines</option>
          <option value="PCN">Pitcairn</option>
          <option value="POL">Poland</option>
          <option value="PRT">Portugal</option>
          <option value="PRI">Puerto Rico</option>
          <option value="QAT">Qatar</option>
          <option value="REU">Réunion</option>
          <option value="ROU">Romania</option>
          <option value="RUS">Russian Federation</option>
          <option value="RWA">Rwanda</option>
          <option value="BLM">Saint Barthélemy</option>
          <option value="SHN">Saint Helena, Ascension and Tristan da Cunha</option>
          <option value="KNA">Saint Kitts and Nevis</option>
          <option value="LCA">Saint Lucia</option>
          <option value="MAF">Saint Martin (French part)</option>
          <option value="SPM">Saint Pierre and Miquelon</option>
          <option value="VCT">Saint Vincent and the Grenadines</option>
          <option value="WSM">Samoa</option>
          <option value="SMR">San Marino</option>
          <option value="STP">Sao Tome and Principe</option>
          <option value="SAU">Saudi Arabia</option>
          <option value="SEN">Senegal</option>
          <option value="SRB">Serbia</option>
          <option value="SYC">Seychelles</option>
          <option value="SLE">Sierra Leone</option>
          <option value="SGP">Singapore</option>
          <option value="SXM">Sint Maarten (Dutch part)</option>
          <option value="SVK">Slovakia</option>
          <option value="SVN">Slovenia</option>
          <option value="SLB">Solomon Islands</option>
          <option value="SOM">Somalia</option>
          <option value="ZAF">South Africa</option>
          <option value="SGS">South Georgia and the South Sandwich Islands</option>
          <option value="SSD">South Sudan</option>
          <option value="ESP">Spain</option>
          <option value="LKA">Sri Lanka</option>
          <option value="SDN">Sudan</option>
          <option value="SUR">Suriname</option>
          <option value="SJM">Svalbard and Jan Mayen</option>
          <option value="SWZ">Swaziland</option>
          <option value="SWE">Sweden</option>
          <option value="CHE">Switzerland</option>
          <option value="SYR">Syrian Arab Republic</option>
          <option value="TWN">Taiwan, Province of China</option>
          <option value="TJK">Tajikistan</option>
          <option value="TZA">Tanzania, United Republic of</option>
          <option value="THA">Thailand</option>
          <option value="TLS">Timor-Leste</option>
          <option value="TGO">Togo</option>
          <option value="TKL">Tokelau</option>
          <option value="TON">Tonga</option>
          <option value="TTO">Trinidad and Tobago</option>
          <option value="TUN">Tunisia</option>
          <option value="TUR">Turkey</option>
          <option value="TKM">Turkmenistan</option>
          <option value="TCA">Turks and Caicos Islands</option>
          <option value="TUV">Tuvalu</option>
          <option value="UGA">Uganda</option>
          <option value="UKR">Ukraine</option>
          <option value="ARE">United Arab Emirates</option>
          <option value="GBR">United Kingdom</option>
          <option value="UMI">United States Minor Outlying Islands</option>
          <option value="URY">Uruguay</option>
          <option value="UZB">Uzbekistan</option>
          <option value="VUT">Vanuatu</option>
          <option value="VEN">Venezuela, Bolivarian Republic of</option>
          <option value="VNM">Viet Nam</option>
          <option value="VGB">Virgin Islands, British</option>
          <option value="VIR">Virgin Islands, U.S.</option>
          <option value="WLF">Wallis and Futuna</option>
          <option value="ESH">Western Sahara</option>
          <option value="YEM">Yemen</option>
          <option value="ZMB">Zambia</option>
          <option value="ZWE">Zimbabwe</option>
        </select>
        <label for="country">Country *<span class="error"></span></label>
      </div>
    </div>
    <div class="row mb-3">
      <div class="col">
        <input type="text" name="street_address_1" id="street_address_1" class="form-control" data-validate="required" required="">
        <label for="street_address_1">Street Address*<span class="error"></span></label>
      </div>
    </div>
    <div class="row mb-3">
      <div class="col-md-6">
        <input type="text" name="city" id="city" class="form-control" data-validate="required" required="">
        <label for="city">City *<span class="error"></span></label>
      </div>
      <div class="col-md-3">
        <select name="state" id="state" class="form-control" data-validate="required" required="">
          <option value="" selected="selected"></option>
          <option value="AL">Alabama</option>
          <option value="AK">Alaska</option>
          <option value="AZ">Arizona</option>
          <option value="AR">Arkansas</option>
          <option value="CA">California</option>
          <option value="CO">Colorado</option>
          <option value="CT">Connecticut</option>
          <option value="DE">Delaware</option>
          <option value="DC">District Of Columbia</option>
          <option value="FL">Florida</option>
          <option value="GA">Georgia</option>
          <option value="HI">Hawaii</option>
          <option value="ID">Idaho</option>
          <option value="IL">Illinois</option>
          <option value="IN">Indiana</option>
          <option value="IA">Iowa</option>
          <option value="KS">Kansas</option>
          <option value="KY">Kentucky</option>
          <option value="LA">Louisiana</option>
          <option value="ME">Maine</option>
          <option value="MD">Maryland</option>
          <option value="MA">Massachusetts</option>
          <option value="MI">Michigan</option>
          <option value="MN">Minnesota</option>
          <option value="MS">Mississippi</option>
          <option value="MO">Missouri</option>
          <option value="MT">Montana</option>
          <option value="NE">Nebraska</option>
          <option value="NV">Nevada</option>
          <option value="NH">New Hampshire</option>
          <option value="NJ">New Jersey</option>
          <option value="NM">New Mexico</option>
          <option value="NY">New York</option>
          <option value="NC">North Carolina</option>
          <option value="ND">North Dakota</option>
          <option value="OH">Ohio</option>
          <option value="OK">Oklahoma</option>
          <option value="OR">Oregon</option>
          <option value="PA">Pennsylvania</option>
          <option value="RI">Rhode Island</option>
          <option value="SC">South Carolina</option>
          <option value="SD">South Dakota</option>
          <option value="TN">Tennessee</option>
          <option value="TX">Texas</option>
          <option value="UT">Utah</option>
          <option value="VT">Vermont</option>
          <option value="VA">Virginia</option>
          <option value="WA">Washington</option>
          <option value="WV">West Virginia</option>
          <option value="WI">Wisconsin</option>
          <option value="WY">Wyoming</option>
          <option value="AE">Armed Forces - Africa, Canada, Europe, Middle East</option>
          <option value="AA">Armed Forces - Americas</option>
          <option value="AP">Armed Forces - Pacific</option>
          <option value="AS">American Samoa</option>
          <option value="GU">Guam</option>
          <option value="MH">Marshall Islands</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="PR">Puerto Rico</option>
          <option value="VI">US Virgin Islands</option>
        </select>
        <label for="state">State *<span class="error"></span></label>
      </div>
      <div class="col-md-3 d-none">
        <input type="text" name="province" class="form-control" id="province" data-validate="">
        <label for="province">Province <span class="error"></span></label>
      </div>
      <div class="col-md-3">
        <input type="text" name="zip_code" id="zip_code" class="form-control" data-validate="required zip-code" required="">
        <label for="zip_code">Zip Code *<span class="error"></span></label>
      </div>
      <div class="col-md-3 d-none">
        <input type="text" name="postal_code" id="postal_code" class="form-control" data-validate="">
        <label for="postal_code">Postal Code *<span class="error"></span></label>
      </div>
    </div>
    <div class="row mb-3">
      <div class="col-md-6">
        <input type="email" name="email_address" id="email_address" class="form-control" data-validate="email" required="">
        <label for="email_address">Email Address <span class="error"></span></label>
      </div>
    </div>
  </fieldset>
  <fieldset id="claim-fields" class="mb-5">
    <legend class="d-none">Claim Fields</legend>
    <div class="row">
      <div class="col">
        <input type="text" class="form-control" id="att_acct_number" placeholder="" data-validate="" data-label="AT&amp;T Wireless Phone or Account Number">
        <label for="att_acct_number">(If known) AT&amp;T Wireless Phone Number or AT&amp;T Wireless Account No. <span class="error"></span></label>
      </div>
    </div>
  </fieldset>
  <fieldset id="certification" class="mb-5">
    <legend class="d-none">Sign the Form</legend>
    <div class="row d-none">
      <div class="col-md-6">
        <input type="text" name="signature" id="signature" class="form-control" data-validate="">
        <label for="signature">Type Your Full Name *<span class="error"></span></label>
      </div>
      <div class="col-md-4">
        <input type="text" id="date" class="form-control" name="date" disabled="disabled" value="10/13/2022">
        <label for="date">Date </label>
      </div>
      <div class="col-md-2">
        <div class="d-grid gap-2">
          <input type="submit" id="submit-claim" class="btn btn-primary" value="Submit">
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col">
        <div class="d-grid gap-2">
          <input type="submit" id="submit-claim" class="btn btn-primary" value="Submit">
        </div>
      </div>
    </div>
    <div class="row my-3">
      <div class="col">
        <p class="text-end text-primary"><strong>* Required Fields</strong></p>
      </div>
    </div>
  </fieldset>
  <input type="hidden" name="referer_url" id="referer_url" value="">
</form>

Text Content

Vianu v. AT&T Mobility LLC
Case No. 3:19-cv-03602-LB
United States District Court for the Northern District of California
MENU File A Claim
 * Home
 * Important Documents
 * FAQs
 * Contact Us
 * File A Claim

The deadline to file a claim is October 29, 2022

If you received a personalized notice in the mail or via email with a Notice ID
and Confirmation Code, please enter the codes you were provided below. 1

Please remember to enter the full Notice ID exactly as it appears on your
personalized Notice (For example 12345678).

Notice ID
Confirmation Code


OR

If you did not receive a personalized Notice in the mail or via email, or you do
not have your Notice ID and Confirmation Code, click below to file a claim
without a Notice ID and Confirmation Code.

1 See sample illustration of Notice ID and Confirmation Code location from
Postcard or Email notification.

Please note that this claims portal is scheduled to close on October 29, 2022 at
11:59:59 P.M. Pacific Time.


SETTLEMENT CLAIM FORM


THE DEADLINE TO FILE A CLAIM IS OCTOBER 29, 2022

TO FILE A CLAIM ENTER YOUR CONTACT INFORMATION AND CLICK “SUBMIT” BELOW.

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