Prescription Drug Claim Form printable pdf download
Gtl Settlement Claim Form. Web global tel*link corporation is paying over $8 million to settle a class action alleging that it violated the tcpa in placing “notification calls” to cell phones using an automated dialer. If you are not currently using gtl’s services, you must fill out a claim form and provide.
Prescription Drug Claim Form printable pdf download
To file a make, web claim forms on the customer portal or click on one of which forms see — you can print and complete the reasonably. Web do use this filing form when submitting your rx claim with your prescription drug (rx) receipts do ask your pharmacy for a computer summary print out of your rx history. Web switch on the wizard mode in the top toolbar to get extra tips. Web home faq notice/aviso important dates documents the deadline to exclude yourself from (opt out of) the settlement was april 15, 2022 (postmarked). Web please send the completed claim form, signed authorization, and itemized bills to: Are you using gtl's customer portal? Box 1144 glenview, illinois 60025 or fax to: Web if you are currently using gtl’s services, you do not need to fill out a claim form. Web $60 settlement documents estimate class members will receive $60 each. Web if you had an inactive gtl advancepay account at the time the settlement is approved, you needed to submit a claim form online or by mail by june 14, 2022 to receive a refund.
This page is designed to provide any additional documentation in regards to the settlement. Be sure the information you add to the gtl claim form is updated and correct. Box 1144 glenview, illinois 60025 or fax to: Web if you are currently using gtl’s services, you do not need to fill out a claim form. Web please send the completed claim form, signed authorization, and itemized bills to: Web $60 settlement documents estimate class members will receive $60 each. Web switch on the wizard mode in the top toolbar to get extra tips. Mail the claim form by june 14, 2022 to: Web to submit a claim form, either: If you are not currently using gtl’s services, you must fill out a claim form and provide. Web do use this filing form when submitting your rx claim with your prescription drug (rx) receipts do ask your pharmacy for a computer summary print out of your rx history.