CRST Claim


CLAIM FORM AND RELEASE OF CLAIMS

I hereby consent to participate in this settlement and receive a monetary payment as to the classes for which I am eligible to participate in the settlement (as identified in the “Personal Information” section of the personalized notice sent to me and as described in Section 4 of the Notice). I understand that, by participating in the settlement, I am releasing all claims that have been brought or could have been brought in the following lawsuits for the classes for which I am eligible to participate in the settlement, as described in more detail in Section 4 of the Notice of Settlement:  Juan Carlos Montoya et al. v. CRST Expedited, Inc. et al., D. Mass. Civil Action No. 1:16-cv-10095-PBS; Maurice Smith et al. v. CRST International, Inc. et al., D. Mass. Civil Action No. 1:20-cv-11353-PBS; and Larry Wimbish and Rinel Tertilus, et al. v. CRST International, Inc. et al., Civil Action No. 16-2020-CA-003424 (Fla. 4th Cir., Duval Cty.).

This release does not include claims relating to compensation for sleeper berth time.  Additionally, this release does not release any claim that (if applicable):  (1) falls outside of the statutory period in this case; (2) relates to the portion of any workweek during which I was classified as a non-employee and/or independent contractor driver.

I hereby designate Class Counsel (as identified in Section 8 of the Notice) as my attorneys for all purposes in connection with this case, including the settlement.

FIRST NAME:

MIDDLE NAME:

LAST NAME:


***Note: This Portion Will Not Be Filed with the Court***

CRST Driver Code:  

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Signature Certificate
Document name: CRST Claim
lock iconUnique Document ID: 49941025c44327f729ef4684843364984e65051f
Timestamp Audit
2021-02-03 1:10 pm EDTCRST Claim Uploaded by Optime Administration, LLC - crstlawsuit@optimeadmin.com IP 71.192.72.70