FLSA ACTION AGAINST THE NASHVILLE CENTER FOR REHABILITATION AND HEALING, LLC

    PLAINTIFF CONSENT FORM

    By my signature below, I hereby authorize the filing and prosecution of a Fair Labor Standards Act action in my name and on my behalf by the named Plaintiffs against the Nashville Center for Rehabilitation and Healing, LLC, and designate them as my agent to make decisions on my behalf concerning the litigation, the method and manner of conducting this litigation, the entering of an agreement with Plaintiffs’ Counsel concerning attorney’s fees and costs, to file a proof of claim on my behalf in the event Defendant files for bankruptcy protection under Chapters 7 or 11 of the Bankruptcy Act, to file an arbitration claim, and to negotiate and to take any other action necessary to present or preserve my wage and hour claim against the Nashville Center for Rehabilitation and Healing, LLC, its successors, affiliates, owners and or principals.

    To view the Court Supervised Notice, click here.

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    CONTACT INFORMATION

    THIS PAGE WILL NOT BE FILED WITH THE COURT BUT SIMPLY PROVIDED TO PLAINTIFFS’ COUNSEL FOR THEIR RECORDS

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