In re: Herff Jones Data Breach Litigation

Case No. 1:21-cv-01329-TWP-DLP (S.D. Ind.)

United States District Court for the Southern District of Indiana

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Please remember to enter the full Notice ID exactly as it appears on your personalized Notice, (i.e. 12345678).

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Your claim form Must Be Submitted On or Before May 12, 2022


This claim form should be filled out below or submitted by mail if you used one or more debit, credit, or other payment cards directly or through an authorized Herff Jones sales partner organization between August 1, 2020 through April 30, 2021; and/or you incurred fraudulent charges on the same card and spent time addressing fraudulent charges or monitoring your account; and/or you experienced a documented, out-of-pocket, unreimbursed loss as a result of the Data Incident; and/or were a California resident during the Data Incident Period.

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Please review the notice and sections 2.3 through 2.8 of the Settlement Agreement for more information on who is eligible for a payment and the nature of the expenses or losses that can be claimed.

Please provide as much information and documentation as you can to help us figure out if you are entitled to a settlement payment.


Settlement Class Members who file a valid claim will be eligible for a Tier 1, Tier 2, OR Tier 3 award. Settlement Class Members will receive only one payment regardless of the number of credit or debit cards used by the Settlement Class Member on the Herff Jones website during the Data Incident. If more than one valid claim is submitted for a Settlement Class Member, the highest-valued valid claim will be processed and the remaining claims will be denied as duplicative. Please be sure to upload documentation of the charges as described (if you are asked to provide account statements as part of proof required for any part of your claim, you may mark out any unrelated transactions if you wish).

Tier 1: Attested Card Use

Note: Every Settlement Class Member who attests that they used one or more of their debit or credit cards on the Herff Jones website during the Data Incident Period (August 1, 2020 to April 30, 2021) is eligible to receive $75.00, regardless of whether they experienced any fraudulent or unauthorized charges or whether they claim to have experienced any identity theft as a result of the Data Incident.

Tier 2: Lost Time

Examples – You spent time calling customer service lines, writing letters or emails, on the Internet in order to get fraudulent charges reversed or updating automatic payment programs because your card number changed, etc. Please note that the time that it takes to fill out this claim form is not reimbursable and should not be included in the total.

Briefly describe the time spent as a result of fraudulent charges caused by the Data Incident below. Please attach documentation to support the fraudulent charges you experienced.

You may mark out any transactions that were not fraudulent and any other information that is not relevant to your claim before sending in the documentation.

Note: Any Settlement Class Member who submits a claim for a Tier 2 Award and that claim is not approved or the portion of that claim that is approved is less than the amount the Settlement Class Member would otherwise receive as a Tier 1 Award will instead receive a Tier 1 Award.

Tier 3: Out-of-Pocket Loss

Losses may include, but are not limited to: unreimbursed fraudulent charges, bank fees, replacement card fees, late fees from transactions with third parties that were delayed due to fraud or card replacements, credit freeze fees, parking expenses or other transportation expenses for trips to a financial institution to address fraudulent charges or receive a replacement payment card, credit monitoring purchased for up to three years, or other expenses reasonably attributable to the Data Incident.

Please provide copies of any receipts, bank statements, police reports, or other documentation supporting your claim. The settlement administrator may contact you for additional information before processing your claim.

You may mark out any information that is not relevant to your claim before sending in the documentation.

Description of the unreimbursed, out-of-pocket loss occurred and the documents attached to support this claim:

Note: Any Settlement Class Member who submits a claim for a Tier 3 Award and that claim is not approved or the portion of that claim that is approved is less than the amount the Settlement Class Member would otherwise receive as a Tier 1 Award will instead receive a Tier 1 Award.

California Subclass

In addition to the above benefits, California Settlement Subclass Members will also be eligible for an additional benefit of $100 per California Settlement Subclass Member ("California Claim(s)"), subject to a potential pro rata reduction.

To redeem this $100 benefit, California Settlement Subclass Members must submit a Settlement Claim and attest by checking the box below that they were a California resident during the Data Incident.

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    I declare under penalty of perjury under the laws of the United States and the laws of my State of residence that the information supplied in this claim form by the undersigned is true and correct to the best of my recollection, and that this form was executed on the date set forth below.

    I understand that I may be asked to provide supplemental information by the Settlement Administrator or Claims Referee before my claim will be considered complete and valid.

    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:

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    Your Claim Details

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