TO FILE AN EXCLUSION FROM THIS SETTLEMENT, THIS FORM MUST BE SUBMITTED BY

If you exclude yourself from the Settlement Class (also called "opting out"), you will give up your right to receive a monetary payment under the settlement, but will retain any rights you may have to bring your own lawsuit about the issues in the lawsuit. If you exclude yourself, you cannot file a claim or object to the settlement.

If submitted online, exclusion requests must be made by November 7, 2022. If mailed, exclusion requests must be postmarked by November 7, 2022.

Class Member Information
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If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

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

Attestation

I hereby request that I be excluded from the Settlement Class in Bangoura v. Beiersdorf, Inc. and Bayer Healthcare, LLC., Case No. 1:22-cv-00291-BMC (E.D.N.Y.). I understand that by excluding myself from the Settlement Class, I will not receive any benefits from the settlement.

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Your Request has been submitted successfully.

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You may also print this page for your records.

Your Opt Out Request Details

First Name
Last Name
Street Address
City
State
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Telephone Number
Email Address
Signature
Date

If you have any questions regarding your Opt Out Request, please email us at Info@2022coppertonesettlement.com.