FIVE BELOW SECURITY INCIDENT SETTLEMENT CLAIM FORM

This Claim Form should be filled out and submitted if you received notice that your credit or debit card was potentially compromised when you made an online purchase from Five Below in late 2018/early 2019. You may get a payment up to $250 if you fill out this Claim Form. Please refer to the Settlement Notice posted on the settlement website, www.fivebelowcardsettlement.com, for more information.

Please provide the password and username that the settlement administrator provided to you in the letter or email notifying you of the settlement. If you do not have this information but believe you may be a class member, please contact the settlement administrator at 1-866-742-4955.