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09. September
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2021-09-21 10:00 AM - Commissioners' Agenda
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Important Emission Campaign
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Last modified
9/16/2021 3:23:09 PM
Creation date
9/16/2021 3:21:49 PM
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Meeting
Date
9/21/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
c
Item
Request to Approve a Resolution Authorizing the Kittitas County Sheriff’s Office to Submit Individual Release of Claims Regarding Daimler AG and Mercedes-Benz, USA, LLC Emission Campaign 2020040002
Order
3
Placement
Consent Agenda
Row ID
81235
Type
Resolution
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InreMercedes-BenzEmissionsLitigationClassActionSettlementClaimFormClaimFormInstructionsRequiredDocuments-CurrentOwnersandLesseesCurrentOwnersandLesseesmustincludeacopyofthefollowingsupportingdocumentswithyourClaimFormtocompleteyourclaim.Pleasecheckalltheboxesbelowthatapplytoyouinordertoconfirmthatyouhaveincludedalltherequireddocuments.Pleasedonotsendtheoriginalsbecausethedocumentswillnotbereturnedtoyou.(FormerOwnersandLesseesdonotneedtoprovidethesedocuments.)DOCUMENTSREQUIREDTOCOMPLETEYOURCLAIM-CURRENTOWNERS/LESSEES*:Acopyofyourdriver'slicenseorothergovernment-issuedphotoidentificationTherepairorderorinvoiceyoureceivedatthetimetheAEMwasinstalledinyourSubjectVehicleProofthattheSubjectVehiclewasregisteredinyournameatthetimetheAEMwasinstalledDocumentationoftransportationcosts(ifseekingTransportationReimbursement)FullyexecutedIndividualRelease(acopyoftheIndividualReleaseisattachedtotheendofthisClaimForm)ProofthatyouownedorleasedBregisteredtheSubjectVehicle.Permitteddocumentationtoproveownershiporleaseincludesyourbillofsale,leaseagreement,title,registrationfromtimeofpurchaseorlease,DepartmentofMotorVehicles("DMV")registrationhistory,financingagreement,insurancedocumentationlistingyourdateofpurchaseorlease,orproofofleasepayment;insurancedocumentationmaysufficeforproofofregistration.YourdocumentationmustshowthedateyouacquiredorleasedtheSubjectVehicle,aswellasthedateyouregisteredit.*Youmayneedtoprovideadditionaldocumentationincertaincircumstances.Youwillbenotifiedifadditionalinformationisneededtocompleteyourclaim.SECTIOND:FORMEROWNERSANDLESSEESONLYIfyoubeganowningorleasingandregisteredtheSubjectVehicleonorbeforeSeptember14,2020,anddidnothavetheAEMinstalledwhileyouownedorleasedtheSubjectVehicle,checkhere:PleaseenterthedateyousoldtheSubjectVehicleorthedateyouqavebacktheSub|ectVehiclebecauseyourleaseended(MMIDDIYYYY):IfyourSubjectVehiclewastotaled,enterthedatetheSubjectVehiclewasgiventoaninsurancecompany(orgivenorsoldtoajunkyard,salvagedealer,ortheequivalent).IfyoubeganowningorleasingandregisteredtheSubjectVehicleafterSeptember14,2020,andyoudidnothavetheAEMinstalledinyourvehiclewhileyouownedorleasedit,youarenoteligibleforpayment.IfyounolongerownorleasetheSubjectVehicle,butyouhadtheAEMinstalledintheSubjectVehiclewhile(a)youownedorleasedit,and(b)theSubjectVehiclewasregisteredinyourname,pleasefilloutSectionCandSectionE.Ifyouhavequestionsaboutfillingoutthisform,pleasevisitmbbluetecsettlement.comorcall1-877-313-0170ToviewJND'sprivacypolicy,pleasevisithttps://www.india.com/privacv-policv-5-
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