Submit Claim | CenturyLink Class Action

The deadline for submitting this proof of claim form is December 16, 2022

Provide Your Contact Information:

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

* Required Fields

Claim Details

Eligibility (Required)

Please be advised that if the following criteria do not apply, you are ineligible to file a claim in this matter.

Did you receive internet or television service from CenturyLink?*

Yes No

Was your service provided to you in Minnesota?*

Yes No

Did CenturyLink charge you more for service than you agreed to pay?*

Yes No

Payment Option (Required)

Option One (Most Common) You wish to receive a payment of up to $480 because CenturyLink over-billed you. This amount may be pro-rated if the number of claimants is higher than anticipated.

Option Two (Much Less Common) You wish to submit your bills and/or proof of payment showing that you were over-billed by more than $480. This amount may be pro-rated and/or capped. In order to receive payment under this option you must answer the following questions and provide full proof of your over-payment.

Additional Information

Address at which you received service or bills from CenturyLink:

Other names that appeared on your CenturyLink accounts/bills:

Email address:

Telephone number:

Approximate start date of your CenturyLink service:

Approximate end date of your CenturyLink service:

Purchase Receipts

Accepted file types are: PDF, TIF, JPG, GIF, PNG. Other file types will be rejected. Please confirm in the grid below that your file has been successfully uploaded.

Select File for Upload:

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Verification

I declare under penalty of perjury that everything I have stated in this document is true and correct to the best of my ability.

Signature *

Date

State of Minnesota vs. CenturyLink

Court File No. 02-cv-17-3488

Minnesota District Court, Tenth Judicial District

The deadline for submitting this proof of claim form is December 16, 2022

Eligibility (Required)

Payment Option (Required)

Additional Information

Your Claim Form has been submitted successfully.

Submitted Claim ID:
Confirmation Code:
You will need the above Submitted Claim ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
CLAIM INFORMATION
First Name
Last Name
Street Address
City
State
Zip Code
Email Address
Phone Number