opt-out-form

name	opt-out-form
title	Opt-Out Form
description	Drafts opt-out forms and notices of exclusion for class actions, settlements, arbitration clauses, and privacy programs. Covers party identification, election language, consequence statements, signature blocks, and submission instructions per governing orders or contracts (FRCP 23, arbitration windows, CCPA/GDPR). Use when preparing opt-out paperwork, notices of exclusion, settlement opt-outs, or arbitration opt-out letters.
author	CaseMark
author_url	https://github.com/CaseMark/skills/tree/main/skills/legal/opt-out-form
license	Apache-2.0
version	0.1.0
execution_mode	open
jurisdiction	us
practice	litigation
language	en

Opt-Out Form

Produces a ready-to-execute opt-out form tailored to the governing order, settlement, or contract.

Gather Before Drafting

1. Governing instrument (court order, settlement agreement, arbitration clause, program rules)
2. Opt-out deadline — postmark vs receipt; time zone if electronic
3. Submission channel(s) — mail, email, portal; required address/URL
4. Case/program identifiers — caption, case number, settlement name, claim/account ID
5. Party data — legal name, address, email, phone, proof of membership/transaction
6. Representative authority (if minors, incapacitated persons, or entities)

Form Structure

Build in this order:

1. Header/caption — court name, case caption, case number, deadline
2. Party identification — name, address, contact, claim/reference ID, membership proof
3. Election statement — first-person opt-out with specific program/case name
4. Consequences acknowledgment — forfeiture of settlement benefits, retention of individual rights
5. Signature block — signature, printed name, date, representative capacity if applicable
6. Submission instructions — recipient, deadline, postmark/receipt rule, proof-of-submission guidance

Required Fields

Field	Required	Notes
Full legal name	Yes	Must match account/claim records
Mailing address	Yes	For confirmation notices
Email	Conditional	If allowed/required by program
Claim/account/reference ID	Yes	As specified in governing instrument
Proof of membership	Conditional	Transaction date/ID, purchase, policy number
Representative capacity	Conditional	Title/relationship and authority statement

Election Language Checklist

• Clear first-person election: "I elect to opt out and exclude myself from [program/case]."
• Specific program name and case caption
• Statement of non-participation in settlement/award