REQUEST FOR EXCLUSION FORM

In order to exclude yourself from the Settlement, you must submit a request for exclusion by 11:59 p.m. EST on May 04, 2020.

You can exclude yourself from the Settlement by completing the form below, or you may mail a letter to the Settlement Administrator stating that you want to be excluded from the Kokoszki v. Playboy Enterprises, Inc., Case No. 2:19-cv-10302-BAF-RSW settlement. If you choose to submit a request for exclusion by mail, you must follow the instructions outlined in the Notice (a copy of which is posted here), and your exclusion request must be received or postmarked no later than May 04, 2020 to the address of the Settlement Administrator: Playboy Magazine Settlement, c/o JND Legal Administration, PO Box 91350, Seattle, WA 98111.

To submit your exclusion form online, please fill out the form below, and click “Submit”.

I. Class Member Information