Free Amended Complaint - District Court of Arizona - Arizona


File Size: 15.8 kB
Pages: 1
Date: December 31, 1969
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 155 Words, 1,008 Characters
Page Size: 611 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/38234/138-2.pdf

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IN THE UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF OHIO
_ EASTERN DIVISION
LEONARD GAGLIONE et al., )
Individually, and on behalf of others )
similarly situated _ ) Case No.:
)
Plaintiffs, . ) -
)
)
v. ) JUDGE:
)
)
ALLSTATE INSURANCE CO. et al., ) CONSENT TO JOIN
) COLLECTIVE ACTION
)
Defendants. )
_ __. )
CONSENT TO OPT-IN TO COLLECTIVE ACTION
UNDER THE FAIR LABOR STANDARDS ACT
Pursuant to 29 U.S.C. § 216 (b), Fair Labor Standards Act, I hereby consent to be
- tt party plaintiff in a collective actionbrought in the United States District Court for the
Northern District Of Ohio, titled Leonard Gaglione et al., v. Allstate Insurance Co. et al.
_ to recover unpaid overtime and other compensation or sums owing to me, and other
similarly situated employees. _
@ il - B L" i
Signed Date _ _
PRINTED NAME
Case 2:O3—md—O1541-PGR Document 138-2 Filed 05/10/2006 Page 1 of 1

Case 2:03-md-01541-PGR

Document 138-2

Filed 05/10/2006

Page 1 of 1