dChan - Q Origins Project Archive

III. CLAIM DETAIL

To obtain Credit Monitoring Services or Alternative Compensation from the Settlement, you must select ONE AND ONLY ONE of the options below and submit this Claim Form online.

Option 1 (Credit Monitoring Services): I wish to receive Credit Monitoring Services. I understand Credit Monitoring Services will be provided for a minimum of two years, starting from when I activate the services. I understand I will receive an activation code and instructions on how to enroll in the Credit Monitoring Services from the Settlement Administrator later. Instructions will be sent by email unless I did not provide an email address, in which case instructions will be sent by U.S. mail. Option 2 (Alternative Compensation): I wish to receive Alternative Compensation. I understand that this payment will be $100, but may be lower or may be up to $358.80, depending on participation in the Settlement. I hereby CERTIFY that (all must be checked if you wish to receive Alternative Compensation):

IV. OUT-OF-POCKET COSTS GENERAL INSTRUCTIONS

If you believe you spent money or lost time or money related to the Data Breaches, then you may make a claim for reimbursement. Out-of-Pocket Costs incurred from January 1, 2012 to the present which may be eligible for reimbursements include, but are not limited to:

The costs of credit monitoring or identity protection services you obtained (up to the date on which Credit Monitoring Services become available through this Settlement).

Unreimbursed losses, fees, or charges incurred as a result of identity fraud or theft connected with the possible misuse of your name, email address, telephone number, birth date, password, and security questions at Yahoo, or from contents of your email account, such as financial communications and records containing credit cards, retail accounts, banking, account passwords, IRS documents, and social security numbers from transactions conducted by email (“Personal Information”).

Professional fees and other costs incurred addressing identity fraud or theft, including falsified tax returns or other identity fraud or theft, connected with the possible misuse of your Personal Information.

Costs associated with credit freezes.

Miscellaneous expenses such as notary, fax, postage, copying, mileage, and long-distance charges that you show were incurred in connection with identity fraud or theft connected with the possible misuse of your Personal Information.

If you can adequately document identity fraud or theft connected with the possible misuse of your Personal Information you may be eligible for reimbursement of up to fifteen hours of time spent remedying issues related to one or more of the Data Breaches (calculated at $25 per hour, or time off work at your documented hourly wage, whichever is greater), or, if you cannot provide documentation, up to five hours of time spent remedying issues related to one or more of the Data Breaches, at $25 per hour, or time off work at your documented hourly wage, whichever is greater.

This list provides examples only, and other costs due to one or more of the Data Breaches may also be eligible for reimbursement. However, YOU MUST BE ABLE TO DOCUMENT YOUR CLAIM.