PROOF OF CLAIM AND RELEASE FORM

Novo Nordisk Securities Litigation

Toll-Free Number: 1 (833) 674-0167
Email: info@NovoNordiskSecuritiesLitigation.com
Website: 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 Litigation
c/o JND Legal Administration
P.O. Box 91154
Seattle, 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.

If you have been here before and filled in a form, but haven't submitted your claim, please type the username and the password that you received from us below.