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CONSENT TO JOIN


Full Name:

Telephone Number:
E-Mail Address:

 

Additional Phone:
Additional Email:
Date of Birth:
Last Four SSN:

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ANYWHERE

JOHN DOE,
individually and on behalf of all others similarly situated,
Plaintiffs,
v.
DEFENDANT COMPANY, INC.,
Defendant.
Case No.: 1:23-XX-12345-ABC
Hon. JUDGE JUDY

CONSENT TO JOIN

I work or worked at times during the past three years at DEFENDANT COMPANY, Inc. (“DEFENDANT COMPANY”) as an hourly production employee and worked uncompensated overtime.

I choose to participate in the above-captioned lawsuit to seek damages regarding the calculation of overtime rates under the federal Fair Labor Standards Act (“FLSA”), 29 U.S.C. § 216(b), and other relief under the law.

I choose to be represented by the named Plaintiffs, Sommers Schwartz, P.C., and Steffans Legal PLLC (“Plaintiff’s Counsel”). I agree to be bound by their decisions in the litigation and by any adjudication of this action by a court, whether it is favorable or unfavorable. I understand that reasonable costs expended by Plaintiff’s Counsel on my behalf will be deducted from any settlement or judgment amount on a pro-rata basis among all other plaintiffs. I understand that Plaintiff’s Counsel will petition the Court to award them attorneys’ fees from any settlement or judgment.

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