|You must complete this Claim Form to be considered to receive a payment from the Settlements in
Thompson v. 1 800 Contacts, Inc., Vision Direct, Inc., Walgreens Boots Alliance, Inc., Walgreen Co., Arlington Contact Lens Service, Inc., National Vision, Inc., Luxottica of America, Inc. (f/k/a Luxottica Retail North America, Inc.),
No. 2:16-cv-01183 (D. Utah). Your claim must be submitted by December 4, 2020.