Consent to Sue
Christopher Ziglar et al. v. Express Messenger Systems, Inc. d/b/a OnTrac
United States District Court, District of Arizona
CONSENT TO JOIN COLLECTIVE ACTION
Pursuant to the Fair Labor Standards Act, 29 U.S.C. § 216(b)
- I consent and agree to pursue my claims arising out my employment at OnTrac in connection with the above-referenced lawsuit.
- I work/worked as a delivery driver for OnTrac in (State) from on or about _______________ (month, year) to on or about _________________ (month, year).
- I understand that this lawsuit is brought under the Fair Labor Standards Act, 29 U.S.C. § 201, et seq. I hereby consent, agree, and “opt in” to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action.
- I hereby designate Harold Lichten, Michael Freedman, and Peter Delano of Lichten & Liss-Riordan, P.C., at 729 Boylston Street, Suite 2000, Boston, Massachusetts and Susan Martin, Daniel Bonnett and Jennifer Kroll of Martin & Bonnett, PLLC, 1850 N. Central, Suite 2010, Phoenix, AZ to represent me for all purposes in this action.
- I also designate the named plaintiffs in this action, the collective action representative, as my agent to make decisions on my behalf concerning the litigation, including the method and manner of conducting this litigation, entering into settlement agreements, entering into an agreement with Plaintiffs’ Counsel, the firms of Lichten & Liss-Riordan, P.C. and Martin & Bonnett PLLC (the “Firms”) concerning representation (with the understanding that the Firms are being paid on a contingency fee basis, which means that if there is no recovery, there will be no attorneys’ fees, that the Firms will divide primary responsibility for legal services between the two Firms and that the Firms will divide fees based on the proportionate amount of work performed by each of the Firms and the respective billing rates of each of the Firms’ attorneys), and all other matters pertaining to this lawsuit.
Signature: _________________________________________________
Date: ____/____/____
Name: _____________________________________________________
Address: ___________________________________________________
____________________________________________________________
Telephone: ______-______-________
E-Mail: ____________________________________________________
LICHTEN & LISS-RIORDAN, P.C.
ATTN: Shae Cleary
729 Boylston Street, Suite 2000
Boston, MA 02116
Tel: (617) 994-5800
Fax: (617) 994-5801