Settlement | New Leaf SC

Settlement Pending - Response Form

First Name

Last Name

Phone

Service Order Number

If a check or replacement is being sent to you, it will be sent to this address. Please verify that your address is entered correctly.

Street Address

City

State

Zip Code

Please select an option below:

Yes, I accept the settlement provided by New Leaf Service Contracts, LLC.

I would like to speak with a settlement representative before I make a decision.

By typing my name below, I am consenting to the option selected above and to the following terms:

I understand that multiple copies of my above submission are kept on file at New Leaf Service Contracts for verification purposes. I have reviewed the information above and hereby certify that it is accurate and true. I have been given ample time to review my settlement offer and to ask any questions concerning my settlement offer. I understand that by submitting my response using this form, I may be, depending on the selection above, consenting to receive the exact settlement offered by New Leaf Service Contracts, LLC as governed by my Terms and Conditions. I also understand that this offer is final and cannot be changed, updated, or negotiated.

Electronic Signature

Date

Please verify the form for accuracy BEFORE clicking the button below.

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Please expect to receive a call or email from a representative within the next 24 business hours.