ClaimFormNoExclusion Form McKittrick et al. v. Allwell Behavioral Health Services, Case No. CH2022-0174 Court of Common Pleas - Muskingum County, OhioClaimant InformationName* First Middle Initial Last Class Member ID* Upload your Exclusion Form here*Accepted file types: pdf, jpg, jpeg, bmp, png, docx, doc, xlsx, xls, Max. file size: 16 MB.Acknowledgement* I am requesting to be excluded from this Settlement. CAPTCHAUnique IDPhoneThis field is for validation purposes and should be left unchanged.