Register for Further Information - Pizza Hut Canada Class Action

You must fill in all fields marked with an asterisk (*) to Register.

Name *

First Last

Phone Number *

Extension (if applicable)

May we call you at the above phone number? *

Yes
No

Email Address

May we send you emails at the above address?

Yes
No

Home Address

Street Address Address Line 2 City Province Postal Code

Position with Pizza Hut Canada

Position	Address of Pizza Hut Canada Location worked at	Start date (DD/MM/YYYY)	End date (DD/MM/YYYY)

Comments

By ticking the confirm box below, I certify the following: *

(a) I am NOT a person who is or was a director or officer of PH Canada Company or any of its franchisees;

(b) I am NOT submitting this form on behalf of PH Canada Company or any of its franchisees or otherwise submitting this form as a representative or agent of PH Canada Company or any of its franchisees or affiliates or related organizations;

(c) I am NOT a person who otherwise is or was involved in the decision-making process for PH Canada Company, any of its franchisees, or its affiliated or related organizations;

(d) I am NOT a person whose acts or omissions may expose or may have exposed PH Canada Company, any of its franchisees, or its affiliated or related organizations to potential liability in relation to the claims made in the statement of claim (namely, claims relating to alleged misclassification and unpaid wages).

Yes, I confirm