Walker, et al. v. Life Insurance Company of the Southwest
UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA; CASE NO.: CV-10-9198-JVS (RNBx)

Exclusion Request Form

To download the Exclusion Request Form click the button below. Your request to be excluded must be postmarked by November 19, 2013 at the latest. If you fail to send a notification that is postmarked on or before November 19, 2013, you will be included in the Class.

Download an Exclusion Request Form

Alternatively, you may send an exclusion notification in writing to Walker v. LSW Class Action, P.O. Box 3614, Minneapolis, MN 55403-0614. There is no required form—you can send a letter, or any other writing that indicates that you wish to be excluded. Please be sure to include your name, address, signature, and a statement that you wish to be excluded.