Submit Claim | Astral Energy Variable Rate Plan Settlement

Account Holder Full Name *

Property Address:

Street Address *

City *

State *

Zip Code *

If your mailing address is different from property address, please provide the mailing address:

Street Address

City

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Zip Code

* Required Fields

Certification that this Claim Form is True, Correct and Submitted Subject to the Penalty of Perjury

I am/was a named account holder with Astral Energy during the Class Period.
I did not have the account balance discharged due to bankruptcy or receivership.
I have not requested to be excluded from this Settlement.
The information provided in this Claim Form is accurate and complete to the best of my knowledge, information, and belief.
I have not submitted any other Claim for the same Household and have not authorized any other Person or entity to do so and know of no other Person or entity having done so on my behalf.
I understand that Claims will be audited for veracity, accuracy, and fraud. Illegible and invalid Claims Forms will be rejected.

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Submitted Claim ID:
Confirmation Code:
You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
CLAIM INFORMATION
Account Holder Full Name
Property Street Address
Property City
Property State
Property Zip Code

Linardi v. Astral Energy