Submit a Claim

Claimant Identification

Please complete this section in its entirety. The Claims Administrator will use this information for all communications regarding this Claim Form. If this information changes, you MUST notify the Claims Administrator in writing at the address below.

Beneficial Owner's First Name

M.I.

Beneficial Owner's Last Name

Co-Beneficial Owner's First Name (if applicable)

M.I.

Co-Beneficial Owner's Last Name (if applicable)

Entity Name (if Beneficial Owner is not an individual)

Representative or Custodian Name (if different from Beneficial Owner(s) listed above)

Address 1 (street name and number)

Address 2 (apartment, unit, or box number)

City

Country

State

Zip Code

Last 4 Digits of Social Security Number or Taxpayer Identification Number

Telephone number (Day)

Telephone number (Evening)

Email Address

Email address is not required, but if you provide it, you authorize the Claims Administrator to use it in providing you with information relevant to this Claim.

Account Number (where securities were traded)

If the account number is unknown, you may leave blank. If filing for more than one account for the same legal entity, you may write "multiple." Please refer to ¶ 8 of the General Instructions on the Claim Form for more information on when to file separate Claim Forms for multiple accounts.

Type of Beneficial Owner (Specify one of the following):

Individual (includes joint owner accounts)

Pension Plan

Trust

Corporation

Estate

IRA/401K

Other (Describe)

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Call

844-202-9485

info@GeneralElectricSecuritiesLitigation.com

Mail

General Electric Securities Litigation
c/o JND Legal Administration
PO Box 91449
Seattle, WA 98111