Claim Form - Guarino v. Radius Financial

Step 1 of 9 - GENERAL INSTRUCTIONS

ClaimFormNo
Guarino v. Radius Financial Group, Inc.
Civil Action No. 2283CV00196
Superior Court, County of Plymouth, Commonwealth of Massachusetts

CLAIM FORM

The DEADLINE TO SUBMIT: DECEMBER 7, 2023

ATTENTION: This Claim Form is to be used to apply for benefits made available from the Settlement of a Lawsuit with Radius Financial Group, Inc. (“Defendant”). The Lawsuit alleges that Defendant experienced a Cybersecurity Incident in which (an) unauthorized person(s) or entity (entities) may have acquired a limited number of electronic documents stored on Defendant’s systems. This Cybersecurity Incident was discovered in July 2021, which resulted in the potential compromise of personally identifiable information (“PII”) of Defendant’s current and/or former clients. Defendant denies all of the claims or that it has any liability whatsoever. Nevertheless, Defendant has agreed to settle these doubtful and disputed claims.

To recover as part of this Settlement, you must provide the information requested in this Claim Form for each applicable claim. PLEASE BE ADVISED that any documentation you provide must be submitted with this Claim Form.

You may submit Claims in each applicable category below:

(A) Compensation for reasonable and appropriate costs actually incurred and paid by a Settlement Class Member between the Cybersecurity Incident Date and the Notice Date to remediate harm caused by the Cybersecurity Incident to that Settlement Class Member’s identity or credit. Ordinary Losses attributable to the Cybersecurity Incident, not to exceed $325, which may include but are not limited to:

(1) (a) costs to obtain credit reports and remediate fraudulent credit accounts; (b) telephone or cellphone fees or charges; (c) fees charges by credit cards, banks, or other financial institutions; (d) costs for postage or other forms of delivery of documents or other materials; (e) data fees or charges; (f) travel expenses; (g) costs and fees for filing or processing of documents or other materials; and (h) costs and fees for professional services, including forensic, technological, financial, accounting, and legal;

(2) Reimbursement for up to four (4) hours of Lost Time, calculated at $25/hour, provided that the Settlement Class Member attests that the claimed lost time was spent responding to issues raised by the Cybersecurity Incident; and

(B) Compensation of some or all Stolen Funds, meaning monetary funds that were stolen, or taken or debited without authorization, from a financial account owned by a Settlement Class Member between the Cybersecurity Incident Date and the Notice Date due to the compromise of that Settlement Class Member’s Protected Information in the Cybersecurity Incident, provided that the Settlement Class Member timely took all necessary and appropriate steps to attempt to recover or obtain a credit for such Stolen Funds, including, but not necessarily limited to, from any and all financial institutions and other persons involved and all other sources, including potentially applicable insurance.

(C) 2 years of single-bureau credit monitoring that includes identity-theft protection insurance of up to $1,000,000.

Maximum total recovery per Settlement Class Member for compensation for: (A) Ordinary Losses; and (B) Stolen Funds is $2,500.

For further information on each, please see the Notice. You may contact the Claims Administrator by phone at 1-888-208-0032 or email at radiusfinancialsettlement@atticusadmin.com.

If you wish to submit a Claim for a settlement payment via standard mail, you need to print a copy of the Claim Form from this website and mail a completed form to PO Box 64053, Saint Paul, MN 55164, postmarked by December 7, 2023 or submit this Claim Form electronically by December 7, 2023.

CLAIMANT INFORMATION
II. CLAIMANT INFORMATION

The Claims Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of cash payments, you must notify the Claims Administrator in writing at the address on instructions page.
Name*
First Middle Initial Last
Mailing Address*
Street Address Address Line 2 City State Zip Code
Hidden
Check if address is non-US
- Please check if this is a non-U.S. address
Phone*
Email Address*
Class Member ID*

Description of the Expense	Date	Amount	Supporting Documentation
EXAMPLE:Ordered credit reports	1/5/22	$30.00	Copy of invoice/billing statement
EXAMPLE:Mailed police reports to private provider	1/5/22	$5.00	Copy of receipt from U.S. Post Office

Claim A: Ordinary Losses

Claim A: Ordinary Losses – Lost Time Reimbursement

Settlement Class Members are eligible for compensation for up to a total of $325.00 per person for Ordinary Losses, including Lost Time. Lost Time may include up to 4 hours of Lost Time, at $25.00 per hour, for time spent dealing with the Cybersecurity Incident.

If you elect to obtain reimbursement for personal time addressing issues arising out of the Cybersecurity Incident to try to prevent, detect, contest, remediate, and/or repair related damages as a result of the Cybersecurity Incident, check the box below and complete the following:

Lost Time Checkbox
- I attest that I spent at least one hour of personal time responding to issues raised by the Cybersecurity Incident.
How much time did you spend (select one)?
In order to receive this payment, you must describe what you did and how the claimed Lost Time was spent related to the Cybersecurity Incident. Check all activities, below, which apply.
Lost Time Choice Checkboxes
- Calling bank/credit card customer service lines regarding fraudulent transactions.
- Writing letters or e-mails to banks/credit card companies in order to have fraudulent transactions reversed.
- Time on the internet verifying fraudulent transactions.
- Time on the internet updating automatic payment programs due to new card issuance.
- Calling credit reporting bureaus regarding fraudulent transactions and/or credit monitoring.
- Writing letters or e-mails to credit reporting bureaus regarding correction of credit reports.
- Other. Provide description(s) here:
Lost Time - Other Description

Claim B: Stolen Funds
To obtain reimbursement under this category, you must affirm the following:
stolen funds checkbox
- I experienced proven monetary loss(es) attributable to the Cybersecurity Incident, AND the loss is an actual, documented, and unreimbursed monetary loss, AND, the loss was more likely than not caused by the Cybersecurity Incident, AND the loss occurred between July 7, 2021 and the Notice Date, AND the loss is not already covered by one or more of the above normal reimbursement categories, AND all necessary and appropriate effort was made by me to avoid or seek reimbursement for the loss, including but not limited to, exhaustion of all available credit monitoring insurance and identity theft insurance.

Please provide documentation supporting both your Claim and your associated expenses.

An example of documentation supporting your Claim could include a letter from your financial institution, credit reporting agency, or another source informing you that a fraudulent financial loss occurred for which you were not reimbursed.

An example of documentation supporting your associated expenses would include receipts, voided checks, bank statements, or other documents showing the amount of your losses and/or a detailed narrative description of what happened and what losses you incurred.

Failure to affirm or provide appropriate documentation will result in a delay in processing and may result in the denial of your Claim.

Claim B: Stolen Funds –Expense Reimbursement

(Settlement Class Members are eligible for total compensation for up to a total of $2,500.00 per person for Claim A (Ordinary Losses) and Claim B (Stolen Funds)

Description of the Expense	Date	Amount	Supporting Documentation
EXAMPLE:Unreimbursed fraudulent medical bills	1/5/22	$200.00	Copy of invoice/billing statement
EXAMPLE:Unreimbursed charged from account fraudulently opened with my identity.	1/5/22	$100.00	Copy of invoice/billing statement and report of identity theft to account company

Stolen Funds Table
Description of the Expense Date Amount Supporting Documentation

Failure to affirm or provide appropriate documentation will result in a delay in processing and may result in the denial of your Claim.
Upload Supporting Documents for Stolen Funds
Drop files here or

Accepted file types: pdf, jpg, jpeg, bmp, png, docx, doc, xlsx, xls, Max. file size: 16 MB, Max. files: 20.

Guarino v. Radius Financial Group, Inc.

Step 1 of 9 - GENERAL INSTRUCTIONS

CLAIMANT INFORMATION

Claim A: Ordinary Losses

Claim A: Ordinary Losses

Claim B: Stolen Funds