Comcast P2P Congestion Claim Form
COMCAST P2P CONGESTION MANAGEMENT SETTLEMENT CLAIM FORM
Return this Claim form to: P2P Congestion Settlement Claims Administrator
c/o Rust Consulting, Inc., P.O. Box 9454, Minneapolis, MN 55440-9454
Must be postmarked no later than August 29, 2010
| PART A – CLAIMANT INFORMATION | |
| Name: __________________________ __________________ ___________________________
(First) (Middle) (Last) Address: _____________________________________________________________________________ (Street) ________________________________________________________ ________ _____________ (City) (State) (Zip Code) |
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| Home/Mobile* Phone Number (___) _____-_______
(Required. *Use a mobile number only if you have no home phone.) |
Email address:
______________________________________________ (Optional) |
| Are you a current customer of Comcast High-Speed Internet Service?
□ Yes □ No |
Account Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |
| Please provide the address and phone number where your Comcast High-Speed Internet Service is/was provided if different from the phone number and address above (please attach a separate sheet if you have or had Comcast Internet Service at multiple addresses):
Address: _____________________________________________________________________________ (Street) ________________________________________________________ ________ _____________ (City) (State) (Zip Code) Phone Number (___) _____-_______ |
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| PART B – CERTIFICATION UNDER PENALTY OF PERJURY
CLAIMS MAY BE CHALLENGED. PERSONS THAT FILE FALSE OR FRAUDLENT CLAIMS MAY BE PROSECUTED. 1. □ I certify that I am or was a Comcast High-Speed Internet Service account holder who has/had Comcast High-Speed Internet Service at the address(es) listed above; and 2. I certify that, as a Comcast High-Speed Internet Service account holder, □ I used or attempted to use the Comcast service to share computer files using one of the “Peer-to-Peer” protocol(s) listed below (you must check all of the “Peer-to-Peer” protocols listed below that apply) at some time from April 1, 2006 to December 31, 2008, and that (i) I was unable to share such files using Comcast service; and/or (ii) I have reason to believe that the speed at which files were shared was impaired while using the Comcast service; □ Ares □ BitTorrent □ eDonkey □ FastTrack □ Gnutella □ I attempted but was unable to use the Comcast service to send emails using Lotus Notes at some time from March 26, 2007 to October 3, 2007; and 3. □ I certify that I have not previously requested or received a refund on or credit to my account arising out of or related to Comcast’s management of P2P file-sharing traffic or Lotus Notes on its high-speed Internet network or Comcast’s disclosure of its congestion management practices; and 4. □ I certify that my use or attempted use of the “Peer-to-Peer” protocol(s) specified above to share computer files and/or Lotus Notes to send emails was for a lawful purpose consistent with applicable copyright and other laws. |
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| By signing below, I declare, under penalty of perjury, that all of the information on this Settlement Claim Form, including but not limited to the certifications made above and the information contained therein, is true and correct.
Signature: ___________________________________________________ Printed Name: ______________________________________ Date: _______________________________ |
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Questions? Call 1-877-567-2754
