Submit Claim - Snapchat Privacy Settlement

I. YOUR CONTACT INFORMATION

Provide your name and contact information below. You must notify the Settlement Administrator if your contact information changes after you submit this form.

First Name *

Last Name *

Country

Street Address *

City *

State *

Zip Code *

Email Address *

Snapchat Username *

* Required Fields

II. IF YOU ARE NO LONGER AN ILLINOIS RESIDENT

If you are no longer an Illinois resident, please provide the address where you resided in Illinois during the class period (November 17, 2015 to the present).

Street Address

City

State

Zip Code

III. PAYMENT SELECTION

IV. VERIFICATION AND ATTESTATION UNDER OATH

By signing below and submitting this Claim Form, I hereby swear under penalty of perjury:

I have lived in the state of Illinois for at least 183 days (6 months) between November 17, 2015 and the present;
While living in Illinois, I used Snap’s Lenses or Filters; and
That the information provided in this Claim Form is, to the best of my knowledge, true and correct, and that I have not submitted another claim in connection with this Settlement and know of no other person having done so on my behalf.

Signature *

Date

Your Claim Form has been submitted successfully.

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
City
State
Province
Zip Code
Postal Code
Country
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@SnapIllinoisBIPASettlement.com

Click here to edit your Claim.

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