Register for the Coles Class Action

Thank you for your interest in the Coles class action. To confirm your eligibility and register please complete the following form.

Step 1 of 2

Name*
Prefix First Middle Last
Phone*
E.g. 0412 345 678
Email*
Enter Email Confirm Email
Address*
Street Address Suburb City State / Province / Region Post Code Country
Date Of Birth*
Date Format: DD slash MM slash YYYY
Were you employed in a salaried role at a Coles supermarket or liquor store at any time since 2014?*
- Yes
- No
Please note that the limitation period on this claim is 6 years. If you haven't worked for Coles in the last 6 years you are not eligible to register for this class action. Unfortunately, the limitation period for your claim has now elapsed.

Legal Services Agreement
The following documents form the legal services agreement you are about to enter with Adero Law. Please click the following links to access the Class Action Claimant Disclosure Letter and the Class Action Retainer and read each document carefully.
Click here to access the Adero Class Action Claimant Disclosure Letter for the Coles Class Action
Click here to access the Adero Retainer for the Coles Class Action
Your Eligibility
Consent*
By submitting this form you:

Reasonably believe that you will be eligible to participate in the action;

Warrant that: the information you have provided is true and correct; and you will not sign-up or register using any false or misleading details;

Consent and authorise us to use the information provided to assess whether or not you may be eligible to participate in the action; and Consent to receive further communications from us regarding any continued participation in the action
I agree*
Your Consent
Consent*
Thank you for being part of the action against Coles Group Limited (the Proceedings).

By signing below and submitting this form you:
- Acknowledge that Adero Law now acts for you in respect of the Proceedings;
- Warrant that you have read the Retainer with Adero law and understand the nature and effect of its contents;
- Hereby execute and agree to be bound by, and comply with, the terms of the Retainer with Adero Law, and consent to us entering the information you have provided to us into that document;
- Warrant that you have been given the opportunity to obtain independent legal advice as to the nature and effect of the Retainer with Adero Law and you agree to be bound and comply with the terms of the Retainer with Adero Law:
  - after obtaining, and in reliance on such independent legal advice; or
  - having elected not to obtain independent legal advice; that
    - you have read and understood the nature and effect of our Retainer; and
    - you do not require any explanation or advice in relation to that document.
- Consent to receive further communications from us regarding any continued participation in the action.
I agree.*
Signature*

Coles Class Action – Registration

Register for the Coles Class Action

Step 1 of 2

Legal Services Agreement

Your Eligibility

Your Consent

Canberra

Melbourne

Sydney

Adelaide