Legal Class Rep Declaration

LEGAL CLASS REPRESENTATIVE DECLARATION

Court:    Case No.:

Class Representative Name:    Defendant(s):

RECITALS

WHEREAS, Plaintiff class action captioned above alleges that Defendant engaged in conduct giving rise to claims on behalf of a proposed class; and

WHEREAS, the undersigned seeks to serve as Class Representative for the proposed class and has conferred with and retained counsel identified below to prosecute the action on behalf of the class; and

WHEREAS, the Court requires a declaration from the proposed Class Representative confirming personal knowledge, adequacy, and willingness to fulfill representative duties.

NOW THEREFORE

I, the undersigned Class Representative, declare under penalty of perjury under the laws of the United States and the state applicable to this action that the following statements are true and correct to the best of my knowledge and belief:

1. IDENTIFICATION AND CONTACT INFORMATION

2. PERSONAL KNOWLEDGE AND FACTUAL BASIS

I personally experienced or observed the facts alleged in the complaint and have direct knowledge of the matters stated herein as described below.

3. TYPICALITY AND ADEQUACY

I understand the duties of a class representative, including the obligation to fairly and adequately protect the interests of the class. I believe my claims are typical of the claims of the class I seek to represent and that I have no interests antagonistic to the class. I am willing and able to participate in discovery, to be deposed if necessary, and to testify at trial and at any fairness hearing.

4. DOCUMENTS AND EVIDENCE

I have provided responsive documents and information to counsel. The documents I have provided are true and authentic copies, to the best of my knowledge, and I authorize counsel to produce those materials in this litigation.

5. CONFLICTS; PRIOR REPRESENTATIONS

To the best of my knowledge, I have no conflicts of interest that would prevent me from serving as a class representative. I have not been paid or promised payment by any party or third party in connection with my serving as Class Representative other than payment of reasonable litigation-related expenses by counsel, if approved by the Court.

Have you previously served as a class representative in other cases?   Yes   No

6. AUTHORIZATION AND COOPERATION WITH COUNSEL

I have selected and retained counsel to act on behalf of the class. I authorize counsel identified below to take necessary actions to prosecute this litigation, including conducting discovery, negotiating settlements, and executing documents on my behalf to effectuate court-approved relief for the class.

7. CLASS NOTICE, OPT-OUTS, AND SETTLEMENTS

I understand that class notice may be provided to class members and that I may be asked to participate in any settlement process, fairness hearing, or communications with class counsel and the Court. I agree to reasonably cooperate in the dissemination of notice and the administration of any court-approved relief.

8. ACKNOWLEDGMENTS

I acknowledge that I have read the complaint or have had it explained to me, that I understand the nature of the claims asserted on behalf of the class, and that I will fairly and adequately protect the interests of the class. I understand that the Court will make the final determination on class certification and that my obligations may include attendance at hearings and providing testimony.

9. NOTICE DESIGNATION

10. LEGAL CERTIFICATION

I certify under penalty of perjury under the laws applicable to this action that the foregoing is true and correct. I understand that knowingly making a false statement may expose me to penalties for perjury and other sanctions.

GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Declaration shall be governed by and construed in accordance with the laws of the jurisdiction in which the Court presiding over the above-captioned action sits, without regard to conflict of laws principles. This Declaration constitutes the entire statement of the Class Representative regarding the matters herein and supersedes any prior oral statements concerning the same. If any provision of this Declaration is held invalid, illegal, or unenforceable, the remaining provisions shall remain valid and enforceable.

MISCELLANEOUS PROVISIONS

Amendments to this Declaration must be made in writing and signed by the Class Representative and counsel. No waiver by any party of any breach or default shall be deemed a waiver of any subsequent breach or default.

This Declaration may be executed in counterparts, each of which will be deemed an original and all of which together will constitute one instrument. Facsimile or electronic signatures shall be treated as originals for all purposes.

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