National Math and Science Initiative Submission Form

National Math and Science Initiative Form (#60)

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Did you receive a letter, email, or other correspondence from NMSI informing you that your information was included in the Data Breach?

Yes

Do you believe that you have experienced any form of identity theft since September 2021?

Yes

If yes, please describe:

Any information you submit to Consider The Consumer may be shared with attorneys or law firms to facilitate formation of an attorney-client relationship. As such, it is intended that the information will be protected by attorney-client privilege, but it is possible that Consider The Consumer or such attorneys may be ordered by a court of law to produce such information in certain legal situations. Also, you are not formally represented by a law firm unless and until a contract of representation is signed by you and the law firm.