This version of the inclusion request is for viewing only. To print and use, please return to the previous page and use the .pdf version provided.

UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF TENNESSEE

WESTERN DIVISION

________________________________________________________________________

                                                                       

In re:  Prime Succession, Inc., FLSA Class Action Litigation

CIV. ACTION NO.:  99-2278 D/BRE NOTICE OF PENDENCY OF CLASS ACTION

________________________________________________________________________

 

INCLUSION REQUEST

________________________________________________________________________

 

READ THE ENCLOSED LEGAL NOTICE CAREFULLY BEFORE FILLING OUT THIS FORM.

[Please Type or Print Clearly]

___________________________________________________________________________

First Name                                        Middle Name                                                      Last Name

____________________________________________________________________________

Address                                                                                                            Apartment Number

____________________________________________________________________________

City                                                  State                                                                                  ZIP

The undersigned has read the notice of class action, dated ________________, and DOES wish to be included as a member of the plaintiff class certified in the case of In re:  Prime Succession, Inc., FLSA Class Action Litigation (Case No. 99-2278 D/BRE), in the United States District Court for the Western District of Tennessee, Western Division.

Date:_____________________   (Sign Here)X________________________________________

If you want to include yourself in the class, you must complete and return this form by mailing before ______________ to:

Claims Administrator

FLSA Class Action Litigation

Watkins, Watkins and Keenan

850 Ridge Lake Blvd.

Memphis, Tennessee 38120

A separate inclusion request should be completed and timely mailed for each person electing to be included in the class.

If you have any questions concerning this class action, or how to include yourself in the plaintiff class, you may contact class counsel at 901-527-5522.  PLEASE DO NOT CONTACT THE COURT, THE CLERK’S OFFICE, OR THE JUDGE.