CLAIM/CONSENT TO JOIN FORM

I hereby consent to be a party plaintiff seeking unpaid wages against New Prime, Inc., its subsidiaries, affiliates, and any other related entities (collectively “Prime”) in this or any other subsequent action. I understand that, by participating in the settlement, I am releasing all state and federal unpaid wage claims, contract and quasi-contract claims, and any other claims related to unpaid wages or compensation that were or could have been brought in Oliveira v. New Prime, Inc. and/or Haworth v. New Prime, Inc. (i.e., any such claims that arose in the course of my attending training to become a truck driver for Prime and/or driving for Prime either an employee driver and/or or as an independent contractor driver who has leased a truck through Prime at any time from October 2, 2012 to May 8, 2020, and/or any such claims that arose in the course of attending training to become a truck driver for Prime in Missouri from March 4, 2010 to May 8, 2020).

I hereby designate Class Counsel (as identified in Section 4 of the Notice) as my attorneys for all purposes in connection with this case, including the settlement.

10/24/2020




PLEASE CONFIRM THE INFORMATION BELOW (OR UPDATE AS NEEDED) AND PROVIDE ADDITIONAL INFORMATION FOR IDENTIFICATION PURPOSES. THIS SECTION WILL NOT BE FILED PUBLICLY

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