PLAINTIFF CONSENT FORM

_____________________________________________________________________________

1. I consent to make a claim under the Fair Labor Standards Act, 29 U.S.C. § 201, et seq. against my current/former employer(s), Coliseum Detroit LLC (“Defendant”) and any other related entities or affiliates, to recover minimum wage.
2. During the past three years, I did not receive any compensation from Defendant for hours worked and was forced to share my tips with non-tipped employees.
3. If this case does not proceed collectively, then I also consent to join any subsequent action to assert these claims against Defendant, and any other related entities or affiliates.
4. I designate the Named Plaintiff to make all decisions on my behalf concerning the method and manner of conducting the case including settlement, the entering of an agreement with Plaintiff’s counsel regarding payment of attorneys’ fees and court costs, and all other matters pertaining to this lawsuit. For purposes of this lawsuit, I choose to be represented by Blanchard & Walker PLLC, and other attorneys with whom they may associate. 

Information Below Will Be Redacted in Filings with the Court.  Please Print or Type.

Sign electronically or Return this form by any of the following.              

fax, email or mail to:    Doe v Coliseum Detroit, LLC.

                                                c/o Simpluris Inc.

                                                P.O. Box 26170

                                                Santa Ana, CA 92799

                                                Telephone : (888) 369-3780

                                                Fax Number : (714) 824-8591

                                                Email Address : [email protected]

                                                Web: https://bwlawonline.com/coliseum-wage-lawsuit/