Jevon Worrell v. Robbie D. Wood, Inc.
Case No. 68-CV-2025-900681.00
Circuit Court for the Tenth Judicial Circuit in and for Jefferson County, Alabama
DATA BREACH SETTLEMENT CLAIM FORM
GENERAL INSTRUCTIONS
Who is eligible to file a claim? The court has defined the Class this way: “All individuals residing in the United States whose Personal Information was compromised in the Data Breach discovered by Robbie D. Wood in October 2024, including all those individuals who received notice of the breach.”
Excluded from the Settlement Class are: (i) Defendant (ii) all Settlement Class Members who timely and validly request exclusion from the Settlement Class; and (iii) any judges assigned to this case and their staff and family.
COMPLETE THIS CLAIM FORM IF YOU ARE A CLASS MEMBER AND WISH TO RECEIVE
ONE OR MORE OF THE FOLLOWING SETTLEMENT BENEFITS
AVAILABLE BENEFITS
Robbie D. Wood has agreed to pay for a number of different benefits. Class Members may claim Credit Monitoring and Documented Losses or, instead of Documented Losses, an Alternative Cash Payment. The benefits are explained in more detail below.
CREDIT MONITORING. All Class Members are eligible to enroll in two years of CyEx Medical Shield Complete. This comprehensive service comes with $1 million of identity theft insurance, and includes monitoring for:
If anything suspicious happens, you will be able to talk to a fraud resolution agent to help fix any problems.
CASH PAYMENT OPTIONS
Compensation for Documented Losses. If you incurred actual, documented out-of-pocket losses due to the Data Breach, you can get back up to $5,000.00. The losses must have occurred between October 1, 2024, and August 5, 2026.
This benefit covers out-of-pocket expenses like:
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losses because of identity theft or fraud;
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fees for credit reports, credit monitoring, or freezing and unfreezing your credit that were incurred on or after mailing of the notification of the Data Breach;
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cost to replace your IDs;
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postage to contact banks by mail; and
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accountant fees and other out-of-pocket expenses related to tax-issues.
You need to send proof, like bank statements or receipts, to show how much you spent or lost. You can also send notes or papers you made yourself to explain or support other proof, but those notes or papers alone are not enough to make a valid claim. Your proof or notes should show that your expenses were more likely than not caused by the Data Breach.
You cannot claim a payment for expenses that have already been reimbursed by a third party.
Alternative Cash Payment. Instead of compensation for Documented Losses, you may claim a one-time cash payment of $65.00. If you choose this option, you may not claim Documented Losses. You may also claim Credit Monitoring. You do not have to provide any proof or explanation to claim this payment.
If you have questions about these benefits, you can ask for free help any time by contacting the Settlement Administrator at:
c/o Atticus Administration
PO Box 64053
St Paul, MN 55164
THE MOST EFFICIENT WAY TO SUBMIT YOUR CLAIMS IS ONLINE
You may also print out and complete this Claim Form and submit it by U.S. mail.
You must submit your Claim Form online or by mail no later than August 5, 2026.
