PROOF OF CLAIM AND RELEASE FORM
Novo Nordisk Securities Litigation
Toll-Free Number: 1 (833) 674-0167Email: info@NovoNordiskSecuritiesLitigation.comWebsite: www.NovoNordiskSecuritiesLitigation.com
To be eligible to receive a share of the Net Settlement Fund in connection with the Settlement of this Action, you must complete and sign this Proof of Claim and Release Form (“Claim Form”) and mail it by first-class mail to the address below, or submit it online at www.NovoNordiskSecuritiesLitigation.com, with supporting documentation, postmarked (if mailed) or received by (if submitted online) no later than July 27, 2022.
Mail to: Novo Nordisk Securities Litigationc/o JND Legal AdministrationP.O. Box 91154Seattle, WA 98111
Failure to submit your Claim Form by the date specified will subject your claim to rejection and may preclude you from being eligible to receive a payment from the Settlement.
Do not mail or deliver your Claim Form to the Court, Lead Counsel, Defendants’ Counsel, or any of the Parties to the Action.