Register for the Class Action

If you are interested in registering for the class action or providing evidence, please complete the form below.

Are you willing to provide testimony or evidence in writing?
Are you willing to provide testimony or evidence orally?

The above information is being collected solely for the purpose of advancing the proposed class action on behalf of those individuals whose personal information was subject to an attack at Lifelabs. By providing your information you consent to us using your information for this purpose and for communications with you in this regard. The information provided will be kept strictly confidential. No one under 18 years old shall complete and submit their information unless it is provided by his or her legal guardian on their behalf.