Brooks v. U.S. Bank, N.A.

Filing 62

ORDER by Judge Edward M. Chen Granting 48 Plaintiffs' Motion for Preliminary Approval of Class Action Settlement. (Attachments: # 1 Exhibit Notice, # 2 Exhibit Estimated Payment Form) (emcsec, COURT STAFF) (Filed on 2/12/2014)

ESTIMATED PAYMENT FORM AND INSTRUCTIONS TO CHALLENGE
DATES OF EMPLOYMENT
BROOKS, ET AL. v. U.S. BANK, N.A., Case No. C12-4935 EMC
UNITED STATES DISTRICT COURT, NORTHERN DISTRICT OF CALIFORNIA
Your estimated share of the settlement in this case is $XXXXX, and you may also be eligible for
a second payment if you cash the check received for your share. This estimate is based on your
dates of employment, as listed on page 2 of this form.
If you accept your dates of employment, you do not need to do anything to receive your share of
the settlement (unless you also need to update or correct your mailing address).
If you wish to challenge the dates of employment listed on page 2, carefully follow the
instructions on this form.
TO CHALLENGE THE ESTIMATED AMOUNT OF PAYMENT BASED ON YOUR DATES OF
EMPLOYMENT,
THIS FORM MUST BE SIGNED AND POSTMARKED OR FAXED NOT LATER THAN
_______________.
MAIL TO:
U.S. BANK CASE ADMINISTRATOR
c/o Dahl Administration.
address and phone
Important:
1.

It is strongly recommended that you keep proof of timely mailing and/or
faxing for your records until receipt of your settlement payment. You do
NOT have to submit this form to receive your settlement payment if you
believe the dates of employment listed below are accurate.

2.

If you change your mailing address, please send your new mailing address to
the Administrator. It is your responsibility to keep a current address on file
with the Administrator to ensure receipt of your settlement payments.

EMPLOYMENT DATES AND CHALLENGE INFORMATION
<<Name>>
______________________________________
<<Address>>
______________________________________
<<City>>, <<State> <Zip>>
______________________________________
(___ ___ ___) ___ ___ ___ -- ___ ___ ___ ___
Home Telephone Number
Your Compensable Workweeks
U.S. Bank’s records show that during the Class Period of September 30, 2010 through
(date of preliminary approval order), you held the position of In-Store Banker 1, In-Store
Banker 2, Senior In-Store Banker 1, and/or Senior In-Store Banker 2 at a U.S. Bank instore location in California in the following time period:
<<Dates>>
Your total number of Compensable Workweeks is: <<number of workweeks>>
Only weeks in which you actively worked are counted towards this total. Weeks in which
you were on leave are not counted.
Your Estimated Payment
Based upon the estimated share for each workweek at an estimated amount per week
worked of $______, your settlement share is estimated at
$__________________________, assuming that all Settlement Class Members
participate in the Settlement (i.e., can be located and cash their checks). This amount is
subject to change. If you cash your first check, you also may be eligible to receive a
second payment from this case that will increase the amount you are entitled to
receive.

CHALLENGE
Check the box below ONLY if you wish to challenge the dates listed above. All fields must be
complete for your challenge to be accepted:
□ I wish to challenge the employment dates listed above. I have included a written
statement of what I believe to be my correct dates of employment as shown in U.S.
Bank’s records for the Class Period of September 30, 2010 through (date of preliminary
approval order) in the position of In-Store Banker 1, In-Store Banker 2, Senior In-Store
Banker 1, and/or Senior In-Store Banker 2 at U.S. Bank’s in-store locations in California.
I have also included information and/or documentary evidence that supports my
challenge. I understand that, by submitting this challenge, I authorize U.S. Bank to
review its records and determine the validity of my challenge based upon U.S. Bank’s
records as well as the dates, records and information that I am submitting.
____________________________________________________
Signature
Name of Class Member: _______________________________ [preprinted]
I believe that my correct dates of employment as In-Store Banker 1, In-Store Banker 2,
Senior In-Store Banker 1, and/or Senior In-Store Banker 2 at U.S. Bank’s in-store
locations in California during the Class Period are ___________ to ______________.
Statement of reasons and documentation of dates of employment according to Class
Member: __________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
[attach documentation and use separate page(s) as necessary]