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

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Submitted URL:
https://lzzgcc5d.r.us-east-1.awstrack.me/L0/https://www.attvianuclassactionsettlement.com/submit-claim/3/010001825043fcb7-860527cc-0a43-4...
Effective URL:
https://www.attvianuclassactionsettlement.com/submit-claim
Submission: On August 01 via api (August 1st 2022, 1:53:43 am UTC) from US — Scanned from US

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_faef7eaaf230eea9759c">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_faef7eaaf230eea9759c").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" 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_244d8d9a93b2d395745c">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_244d8d9a93b2d395745c").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">
        <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">
        <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>
    <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="08/01/2022">
        <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.

Contact Information
First Name *
Last Name *
Street Address*
City *
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware
District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas
Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi
Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York
North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West
Virginia Wisconsin Wyoming Armed Forces - Africa, Canada, Europe, Middle East
Armed Forces - Americas Armed Forces - Pacific American Samoa Guam Marshall
Islands Northern Mariana Islands Puerto Rico US Virgin Islands State *
Zip Code *
Email Address
Claim Fields
(If known) AT&T Wireless Phone Number or AT&T Wireless Account No.
Sign the Form
Type Your Full Name *
Date



* Required Fields


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: @.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 Last Name Street Address Street Address 2 City State Zip
Code Email Address



Signature Date

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

Click here to edit your Claim.

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www.attvianuclassactionsettlement.com Open in urlscan Pro 3.210.82.232 Public Scan

Form analysis 2 forms found in the DOM

Text Content

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

Form analysis
2 forms found in the DOM