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Adams v. Pall Corporation
Class & Collective Action Settlement
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Adams v. Pall Corporation
Class & Collective Action Settlement
Home  /  Submit a Request for Exclusion

Submit Your Request for Exclusion Form

Submit your Request for Exclusion Form securely online to receive your settlement payment and, where applicable, opt in to the FLSA collective action. You will need the information from your Class Notice to get started.

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Sign In to Submit Exclusion Request
Verify your identity below using the information from your Class Notice to access and complete your Request for Exclusion Form.
Enter Your Identification Information
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Your ILYM ID can be found in the bottom right-hand corner of your Class Notice. Your last name must match the name on record.
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    Locate your ILYM ID on your mailed or emailed Class Notice.
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    Enter your ILYM ID and last name to securely verify your identity.
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    Complete and submit your Request for Exclusion Form online — no later than October 20, 2026.

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Request for Exclusion Form
Please complete all required fields on your Request for Exclusion Form. By submitting, you consent to opt in to the FLSA collective action component of this Settlement, where applicable.
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Request for Exclusion Form Submitted

Your Request for Exclusion Form has been received. The Settlement Administrator will review your submission and contact you if additional information is needed.

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A confirmation has been sent to the address you provided. Please retain it for your records. Remember to keep your contact information current with the Settlement Administrator.