Case No. 5:21-cv-00088-BO


The deadline for submitting this Consent to Join form is July 21, 2022

I. Provide Your Contact Information:
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II. Consent to Join Collective Action:

I, , state the following:

1. I am over 18 years of age and competent to give the following consent in this matter.

2. I was employed as a full-time by Citrix Systems, Inc., at their facility in Raleigh, North Carolina, from approximately until on or about . I worked in the and I believe I have not been paid for all compensable time which I have worked, particularly for all hours over forty (40) per week.

3. I hereby consent and agree to become a party Plaintiff in this action against Citrix Systems, Inc. and all other related individuals or entities, under the Fair Labor Standards Act and the North Carolina Wage and Hour Act (NCWHA) for failure to pay all required overtime compensation and agree to be bound by the final outcome of this lawsuit, including any applicable judgment or settlement.

4. By joining this lawsuit, I designate the Plaintiff named in the Complaint, and listed in the caption at the top of this page, as my representative to the fullest extent possible under applicable laws, to make decisions on my behalf concerning the litigation, the method and manner of conducting and resolving the litigation, and all other matters pertaining to this lawsuit.

5. I choose to be represented by Plaintiffs’ counsel The Law Offices of Gilda A. Hernandez, PLLC and other lawyers they may choose to associate with.

6. I authorize my attorneys to take any steps necessary to pursue my claims, including filing and pursuing this lawsuit.

III. Fill Out and Sign the Following Attestation:

I swear or affirm that the foregoing statements are true to the best of my knowledge, information, and belief.

Your Consent to Join Form has been submitted successfully.

HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to:

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Your Consent to Join Details

Submitted Claim ID:
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