If your vehicle was booted/immobilized by Secure Parking Enforcement, LLC (“SPE”), you were in possession of a vehicle that was booted/immobilized by SPE, or you paid to have a vehicle immobilization device/boot removed by SPE in Atlanta and/or Union City, Georgia, between December 21, 2011 through September 20, 2020, you may be eligible for a payment in this settlement. For complete details of the settlement, please review the Class Action Notice at www.BootingClassAction.com. You may also obtain a Claim Form online at www.BootingClassAction.com This Claim Form must be submitted online by February 16, 2023. If you have more than one claim, please submit a separate Claim Form for each of your claims. There will only be one possible payment per booting.ClaimFormNoHiddenClaimant ID* 1. CLASS MEMBER INFORMATIONName:* First Last Mailing Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Phone:*Email Address:* 2. LOSS/CLAIM INFORMATIONHiddenAddress or Parking Lot Where Booting Occurred: Address or Parking Lot City Park Lot Where Booting Occurred:**** Select a Lot ***Carlyle Heights Condo Assoc. Commpark, Inc.Coro Glenwood Park Ventures, LPDavis Benton Properties (not for 3 Smoothie King spaces only)Defoors Crossing Apts.Dresden Heights Unit OwnersFamily Healthcare of AtlantaGlenwood Park CA Glenwood Park Pool Association Heritage Regency by Piedmont Park, LLCJodaco, Inc.Mews Development Co. Midtown Design MLC ApartmentsMLC PropertiesMWW Piedmont, Inc. d/b/a Publix @ Piedmont Peachtree Walk CondominiumsProfessional Purchasing, Inc.RAM Partners Smoothie KingSubwayThe Highland Buildings, An Office Condo Association Troy Peerless Lofts Condominium AssociationTula, Inc. c/o The Meddin Company Union CityVirginia Hill Condominium West Highlands HOADate of Booting:* License Plate Number of Booted Vehicle:* Please CertifyI owned a vehicle that was booted:* Yes No I do not know I was in possession or control of vehicle that was booted:* Yes No I do not know I personally paid to have the boot removed:* Yes No I do not know I paid using the following to SPE to have the boot removed:*Please ChooseCredit CardCashCheckAmount Paid ($):*3. DOCUMENTATIONAttach any documents that you have showing: * The vehicle that was booted by SPE; * Where and when the booting occurred; * That you were driving the vehicle that was booted; and * That you made payment to SPE to have the boot removed (i.e., receipts, credit card statements).Attach Files Drop files here or Select files Accepted file types: pdf, jpg, jpeg, bmp, docx, doc, xlsx, xls, Max. file size: 16 MB, Max. files: 5. Signature* Pursuant to 28 U.S. Code § 1746, I certify under penalty of perjury under the laws of the United States of America that I have read this Claim Form; I believe I am eligible for Class membership; all of the information on this Claim Form is true and correct to the best of my knowledge; I have made a diligent search for the documents described in Part 3 above; and I have attached to or enclosed with this Claim Form all documents that I have been able to locate. CAPTCHAUnique IDEmailThis field is for validation purposes and should be left unchanged.