Venerus, et. al. v. Avis Budget, et al

Case No. 6:13-cv-921-CEM-GJK

United States District Court Middle District of Florida Orlando Division

If you selected Payment Option 3, you should have received a personalized notice via email with your Claim ID and Confirmation Code, please enter the codes you were provided below to select your electronic payment method.

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

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

I. Verify Your Contact Information:
II. Payment Method

On August 2nd, you will receive an email from Wise to set up your bank transfer information. Wise is our partner to handle international bank transfers.

Check Information

Please note that international check distributions may take an additional 6-8 weeks to receive.

III. Fill Out and Sign the Following Attestation:

I declare under penalty of perjury under the laws of the United States that I am a Class Member (as defined in the Class Notice), and that the information in this Claim Form and any documentation attached to it are true and correct to the best of my knowledge. If I did not provide required documents, it is because I do not have them.

Your Payment Method Selection has been submitted successfully.

Please print this page for your records.

Your Payment Selection Details

Claim ID:
Confirmation Code:
Name
Email Address
Payment Method
Signature
Date

If you have any questions regarding your payment selection, please provide the Claim ID listed above and email us at Info@VenerusCarRentalInsurance.com