Claim Form | Quest Diagnostics Lawsuit

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

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

Claim ID

Confirmation Code

If you do not have your Claim ID and Confirmation Code, click below to verify your eligibility by looking up your information in the Settlement Class List.

First Name

Last Name

Street Address

Zip Code

Email Address

Please note that this claims portal is scheduled to close on Pacific Time.

Please add the email, QuestDiagnosticsSettlement@AdministratorClassAction.com, to your contact list to ensure that future correspondence is delivered to your inbox.

CONSENT TO JOIN COLLECTIVE ACTION AND SETTLEMENT (“CLAIM FORM”)

First Name *

Middle Initial

Last Name *

Street Address 1 *

Street Address 2

City *

State *

Zip Code *

Country *

Email Address *

Confirm Email Address *

Phone Number *

* Required Fields

Pursuant to the Fair Labor Standards Act (“FLSA”), 29 U.S.C. § 216(b), I hereby consent to join this collective action and be bound by the settlement as a Plaintiff in the above-captioned action and seek to opt in as to all FLSA claims. I further agree to be represented by the attorneys for Maria Vecchio.

I understand that by submitting this Claim Form, I will be deemed a Claimant pursuant to the Amended Joint Stipulation and Release and will release all FLSA Claims as described in the Notice of Settlement and under the terms of the settlement.

I declare under penalty of perjury that the foregoing is true and correct.

Signature *

Date

Your Request to Join request has been submitted successfully.

Please print this page for your records.

Your Claim Details
Submitted Claim ID:
Confirmation Code:
You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your consent at a later time, so please print this page for your records.
CLAIM INFORMATION
First Name
Last Name
Street Address
Street Address 2
City
State
Province
Zip Code
Postal Code
Country
Email Address
Phone Number

Signature
Date

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Vecchio v. Quest Diagnostics, Inc., et. al.

United States District Court, Southern District of New York

No. 1:16-cv-05165-ER-KNF & Case No. 1:19-cv-05194-ER

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