IN TILE UNITED STATES DISTRICT COURT ‘
__ - _f . NORTHERN DISTRICT OF OHIO
EASTERN DIVISION
LEONARD GAGLIONE etal., ) O F
Individually, and on behalf of others ) ;
similarly situated ) Case No.: ,
)
Plaintiffs, ` ) Q
. ) - [
l i
v. ) JUDGE: a
l
)
ALLSTATE INSURANCE CO. et al., ) CONSENT TO JOIN
) COLLECTIVE ACTION
) _ -
Defendants. )
)
O? .-‘` CONSENT TO OPT-IN TO COLLECTIVE ACTION
UNDER THE FAIR LABOR STANDARDS ACT
Pursuant to 29 U.S.C. § 216 (b), F air Labor Standards Act, I hereby consent to be
a party plaintiff in a collective action brought in the United States District Court for the
n Northern District Of Ohio, titled Leonard Gaglione etal., v. Allstate Insurance Co. et al.
to recover unpaid overtime and other compensation or sums owing to me, and other
‘ similarly situated employees.
_ .Q.9;L23;.2c70Z.
igned Date ·
LEO/V/KD G/i GL /OA/£' A - .
_ PRINTED NAME . _ » ‘
Case 2:O3—md—O1541-PGR Document 138-4 Filed 05/10/2006 Page 1 of 1
Case 2:03-md-01541-PGR
Document 138-4
Filed 05/10/2006
Page 1 of 1