Intent to Participate Form

Contact Information

Please provide contact information below. You must notify the Settlement Administrator if your contact information changes after you submit this Claim Form.

Class Member Type

First Name

Last Name

Address 1

Address 2

City

State

Zip Code

Phone

Email

Notification Information

Which Settlement(s) do you wish to participate in?*

I would like to participate only in the First Round Settlements, not any future Settlements.

I would like to participate in the First Round Settlements and all future Settlements.

What is your preferred method of contact?*

Email

Mail

SMS

Attestation & Signature

By submitting this form and signing below, I swear and affirm on penalty of perjury that the information provided in this Intent to Participate Form is true and correct to the best of my knowledge. I further swear and affirm that I am individual, or an agent for an entity, that made ex vessel sales of Dungeness crab on his, her, or its own behalf in California, Oregon, and Washington (excluding Puget Sound) between January 1, 2016, and the present.

I understand that I will be contacted by the Settlement Administrator and may be asked to provide information to complete a valid Intent to Participate Form.

Signature

Date