OPT-IN CONSENT FORM

Monplaisir, et al. v. Integrated Tech Group, LLC and ITG Communications LLC

Case No. 3:19-cv-01484-WHA

United States District Court, Northern District of California

Claimant Information


CONSENT TO JOIN COLLECTIVE ACTION

Pursuant to the Fair Labor Standards Act, 29 U.S.C. §§ 201, et seq.

  1. I consent and agree to pursue my claims relating to and arising from Defendants Integrated Tech Group, LLC’s and ITG Communications LLC’s (“ITG”) alleged violations of the Fair Labor Standards Act, 29 U.S.C. §§ 201, et seq. in connection with the above-referenced litigation.

  2. I have worked for ITG as a Technician or similarly titled position in

  3. I understand that this litigation is being filed as a collective action under the Fair Labor Standards Act of 1938, as amended, 29 U.S.C. §§ 201, et seq. I hereby consent, agree, and opt-in to become a named Plaintiff herein and be bound by any judgment of the Court or any settlement of this action.

  4. I specifically authorize my attorneys, Schneider Wallace Cottrell Konecky LLP, and Berger Montague as my agents, to prosecute this lawsuit on my behalf and to negotiate a settlement of any and all claims I have against the Defendant in this litigation.