Submit a Claim

Unique ID:

Please provide your Unique ID*

Contact Information:
:*
:*
:
:*

Please note: The name provided on this form must match the name in Verde Energy’s records for an account that is included in the Settlement Class.

:*
:
:*
:*
:
:
:
:
:*
:*
:*
:*
:*
:
:*
:
Certification:
 By checking this box, I certify that I wish to participate in the class action Settlement in Mercado et al. v. Verde Energy USA, Inc. et al., Case No. 1:18-cv-02068. I declare under penalty of perjury the following:

I am/was a named account holder with one of the Verde Defendants during the Class Period; I enrolled as a customer of one of the Verde Defendants during the applicable Class Period; I did not have my account balance discharged due to bankruptcy or receivership; I acknowledge that the submission of this Claim Form waives my right to opt out of the Settlement; and I have the legal authority to submit this Claim. *