If you would like to request exclusion from, or "opt out" of, this Settlement, please fill out this form completely, certify it, and then submit it.

Request for exclusions must be submitted no later than October 14, 2021.

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Certification:

To complete your submission, please provide your Unique ID from your Notice (if applicable) and certify this form.

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 By checking this box, I declare that I wish to opt out of the Yamagata v. Reckitt Benckiser Settlement. I understand that I will not be bound by any of the Court’s orders or judgments in this Settlement and will not get any money or benefits from the Settlement.*