EmailThis field is for validation purposes and should be left unchanged.IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE GABRIEL D. MONTENEGRO, individually and on behalf of all others similarly situated,Plaintiff, v. VACO LLC, a Tennessee limited liability company, Defendant. Case No: 3:23-cv-01265 Hon. Eli RichardsonMag. Barbara D. Holmes CONSENT TO JOIN 1. Pursuant to the Fair Labor Standards Act, 29 U.S.C. §216(b), I hereby consent to join and act as a plaintiff in the above-captioned lawsuit. 2. I worked for Vaco LLC as a recruiter employee and I agree to be bound by any adjudication or court rulings in this lawsuit, whether favorable or unfavorable. 3. I understand that I have the right to be represented by counsel of my choosing, and I elect the following (check one):Counsel Checkbox I choose to have Plaintiffs’ counsel represent me in this case; or I choose to retain my own attorney for this case. This field is hidden when viewing the formHiddenLastName*Claimant ID*Date:* MM slash DD slash YYYY Contact Information The information requested on this page is for internal attorney use and will not be shared with your employer or filed with the court.Full Name:* First Last Current mailing address:* Address: Address Line 2 City: AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: Telephone:*Cell Phone:Personal Email Address(es):* Job Title(s):Supervisor(s):Primary Work Location:Last Hourly Rate:Employment Start Date:Employment End Date:If you ever have questions or need to talk to Plaintiffs’ counsel, we can be contacted as follows: Jesse L. Young (P72614)Sommers Schwartz, P.C.141 E. Michigan Ave., Ste. 600, Kalamazoo, Michigan 49007Telephone: 269-250-7500ClaimFormNo