CLASS ACTION CLAIM FORM
Vinson v. Verizon Directories Corp., Case No. INC055768
Vinson v. Verizon Directories Settlement Administrator
PO Box 9349
Minneapolis, MN 55440-9349
INSTRUCTIONS FOR COMPLETING THIS FORM
Fill out all parts of this claim form completely. Your claim may be rejected if you provide incomplete or
You may submit only one claim per person or business.
Answer all questions on behalf of the business for which the Yellow Pages advertising referenced below was
purchased, unless you are a certified marketing representative, in which case answer all questions on behalf of
yourself as a certified marketing representative.
You may submit
this claim form online or by mail. An online copy can be
www.DirectoriesSettlement.com, and can be submitted by clicking on the “Submit” button at the end of the form.
To submit it by mail, send it by United States mail, postage prepaid, to the Vinson v. Verizon Directories
Settlement Administrator, PO Box 9349, Minneapolis, MN 55440-9349.
Claim forms that are submitted online must be submitted by March 12, 2008, at 11:59 p.m. Pacific Standard Time, and a
claim form will be rejected if submitted after that time or if it is incomplete. Claim forms that are submitted by mail must
be postmarked by March 12, 2008, and a claim form will be rejected if postmarked after that date or if it is incomplete.
If you are the successor-in-interest or heir of the person or entity that purchased Yellow Pages advertising in the
directories listed below, then you must submit this claim form by mail instead of online, and must enclose
documentation establishing that you are the successor-in-interest or heir and that you now hold any claims relating to
the timing of the distribution of the directories.
PART A – CLAIMANT INFORMATION