Peery v. Nixon Engineering,llc

Western District of Texas, txwd-6:2018-cv-00358

Exhibit Consent of Rebecca Bellamy

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CONSENT TO JOIN WAGE CLAIM Rebecca Bellamy Print Name: _________________________________________ 1. I hereby consent to participate in a collective action lawsuit against NIXON ENGINEERING, L.L.C. to pursue my claims of unpaid wages during the time that I worked with the company. 2. I understand that this lawsuit is brought under the Fair Labor Standards Act, and consent to be bound by the Court's decision. 3. I designate the law firm and attorneys at ANDERSON ALEXANDER, PLLC as my attorneys to prosecute my wage claims. 4. I intend to pursue my claim individually, unless and until the Court certifies this case as a collective action. I agree to serve as the Class Representative if the Court so approves. If someone else serves as the Class Representative, then I designate the Class Representative(s) as my agents to make decisions on my behalf concerning the litigation, the method and manner of conducting the litigation, the entering of an agreement with the Plaintiffs' counsel concerning attorneys' fees and costs, and all other matters pertaining to this lawsuit. 5. I authorize the law firm and attorneys at ANDERSON ALEXANDER, PLLC to use this consent to file my claim in a separate lawsuit, class/collective action, or arbitration against the company. Signature: ___________________________ Rebecca Bellamy (Apr 26, 2019) Apr 26, 2019 Date: ___________________________ 8175269361 Phone: _____________________________ rebeccabellamy1568@gmail.com Email: __________________________ 1803 SE 18TH ST. Your Mailing Address: ___________________________________________________________ MADISONVILLE City where you worked for Nixon: __________________________________________________ TX State where you worked for Nixon: ____________ 01/14/2018 Your *estimated* start date (use xx/xx/xxxx format): ____________________________________ *If you do not remember when you started please use the month you believe you started and mark the start day as the first of the month, ex. 07/31/2017* Are you currently employed with Nixon? ___________