forms.krollsettlementadministration.com
Open in
urlscan Pro
2606:4700:4400::ac40:9616
Public Scan
Submitted URL: https://e.emailksa.com/rd/9z4zopeh7p2v7q86evhe6g4h25b1nfq1vjmaobc9ve8_rp22sh2s8i66p70spi68oj3cjh2bs
Effective URL: https://forms.krollsettlementadministration.com/DynamicForms2/6665/Form/53141d6d-c8f3-40b3-b56e-fcfe76e14dd5
Submission: On October 26 via manual from US — Scanned from DE
Effective URL: https://forms.krollsettlementadministration.com/DynamicForms2/6665/Form/53141d6d-c8f3-40b3-b56e-fcfe76e14dd5
Submission: On October 26 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form class="form-horizontal" id="target" method="post" autocomplete="off" novalidate="novalidate">
<!-- fields -->
<fieldset>
<!-- Form Name -->
<legend>Login</legend>
<!-- modal -->
<div class="form-group" id="row_PostcardNotice">
<p>Your Class Member ID was provided on the notice you received. Please check your email or mail for a notice from Kroll Settlement Administration LLC with the subject "Ariza v. Luxottica Retail". You can also refer to the following to view the
location of your <u><b><a href="javascript:void(0);" data-toggle="modal" data-target="#PostcardNotice">Class Member ID</a></b></u></p>
<div class="modal fade" id="PostcardNotice" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel" aria-hidden="true">
<div class="modal-dialog " role="document">
<div class="modal-content">
<div class="modal-header">
<span aria-hidden="true">�</span>
</div>
<div class="modal-body">
<img src="https://staging.accufitclassaction.com/home/6665/DocumentHandler?docPath=/Documents/Ariza_Call_out.jpg" alt="email notice">
</div>
<div class="modal-footer">
<button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
</div>
</div>
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group" id="row_Claim.refNum">
<label class="col-sm-3 control-label" for="Claim.refNum">Class Member ID <span class="required"><b>*</b></span></label>
<div class="col-sm-6">
<input id="Claim.refNum" name="Claim.refNum" type="text" placeholder="Class Member ID" class="form-control input-md " data-val="true" data-val-required="Required" data-val-length-min="13"
data-val-minlength="The field must be a string with a minimum length of 13" data-val-length-max="13" data-val-length="The field must be a string with a maximum length of 13" maxlength="13">
<span class="field-validation-valid text-danger" data-valmsg-replace="true" data-valmsg-for="Claim.refNum"></span>
</div>
</div>
<!-- Button -->
<div class="form-group" id="row_singlebutton">
<span class="col-sm-3 control-label"> </span>
<div class="col-md-4">
<div id="captcharow">
<div id="g_recaptcha" class="g-recaptcha">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-z54llg1l21f0" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LejhMwnAAAAAI68cpiti4iqdqM19SA5A58U4Yhx&co=aHR0cHM6Ly9mb3Jtcy5rcm9sbHNldHRsZW1lbnRhZG1pbmlzdHJhdGlvbi5jb206NDQz&hl=de&v=vm_YDiq1BiI3a8zfbIPZjtF2&size=normal&cb=ypav9w6z7981"
style="border: none; overflow: hidden; width: 310px; height: 80px;"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" title="captcha response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div><input title="Captcha Required" type="text" data-val="true" data-val-required="Required" id="captcha" readonly="" name="captcha" style="height:0px;width:0px;border:0px;"><span class="text-danger field-validation-error"
data-valmsg-replace="true" data-valmsg-for="captcha"></span><br><br>
</div>
<button id="singlebutton" name="singlebutton" class="btn btn-primary">Login</button>
</div>
</div>
</fieldset>
<input type="hidden" title="Session Id" id="Claim.UDFs.SessionId" name="Claim.UDFs.SessionId" value="ogyve42shgevxlkm1iqjoqzp"><input type="hidden" title="Form Data" id="Claim.UDFs.FormData" name="Claim.UDFs.FormData" value=""><input
name="txtFormID" id="txtFormID" title="Form ID" type="hidden" value="53141d6d-c8f3-40b3-b56e-fcfe76e14dd5">
</form>Text Content
Ariza et al v. Luxottica Retail North America * * Home * FAQs * Documents * Contact * Submit Claim * * Home * FAQs * Documents * Contact * Submit Claim ONLINE CLAIM FORM Submit a claim for the Ariza et al v. Luxottica Retail North America Warning! Your browser does not support javascript You must enable javascript to be able to sucessfully submit a form. -------------------------------------------------------------------------------- Login Your Class Member ID was provided on the notice you received. Please check your email or mail for a notice from Kroll Settlement Administration LLC with the subject "Ariza v. Luxottica Retail". You can also refer to the following to view the location of your Class Member ID � Close Class Member ID * Login 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)-933-8668 Email info@accufitclassaction.com Mail Ariza et al v. Luxottica Retail North America Kroll Settlement Administration LLC PO Box 5324 New York, NY 10150-5324 DOCUMENTS Please read for a full explanation of the settlement and your options and all applicable timelines. CONTACT Contact us with any inquiries, comments, and/or requests. SUBMIT CLAIM Click here to safely and securely submit a Claim Form. IMPORTANT DATES * OBJECTION DEADLINE Monday, January 29, 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 Monday, January 29, 2024. * EXCLUSION DEADLINE Monday, February 5, 2024 You must complete and mail your Request for Exclusion so that it is postmarked or received no later than Monday, February 5, 2024. * FINAL APPROVAL HEARING DATE Monday, February 26, 2024 The Final Approval Hearing is scheduled for Monday, February 26, 2024. Please check this website for updates. * CLAIM DEADLINE You must submit your Claim Form online no later than 30 days after the entry of the Final Approval Order, currently expected to be March 27, 2024, or mail your completed paper Claim Form so that it is postmarked no later than 30 days after the Entry of the Final Approval Order. IMPORTANT DOCUMENTS * Second Amended Consolidated Complaint(PDF: 500.6 kB) * Plaintiff's Motion for Preliminary Approval(PDF: 4.6 MB) * Preliminary Approval Order(PDF: 199.6 kB) * Settlement Agreement(PDF: 2.5 MB) * Long Form Notice(PDF: 56.0 kB) * Claim Form(PDF: 18.6 kB) * Email Notice(PDF: 17.4 kB) * Postcard Notice(PDF: 236.8 kB) * Spanish Long Form Notice(PDF: 152.1 kB) * Spanish Short Form Notice(PDF: 59.8 kB) HAVING TROUBLE? Having trouble opening .pdf files? You can download Acrobat Reader for free from www.adobe.com. ↑ -------------------------------------------------------------------------------- Copyright © 2023 Kroll Settlement Administration LLC - All Rights Reserved. This site is designed and developed by Kroll Settlement Administration LLC - Privacy Policy