Glassdoor Opt-Out Notice

I am writing to provide notice that I'm opting out of the Agreement to Arbitrate in the Glassdoor Terms of
Use. Pursuant to the terms of the Agreement to Arbitrate, I'm providing the requested information as
follows:
My Name:

_________________________________________________________

My Street Address:

_________________________________________________________

City/Town Where I Reside:

_________________________________________________________

State Where I Reside:

_________________________________________________________

Zip Code:

_________________________________________________________

Phone Number:

_________________________________________________________

Email Address(es) associated with the Glassdoor account(s) for which Im opting out of the Agreement to
Arbitrate: (Please let all email addresses associated with the account(s)).
_____________________________________________________________________________________
_____________________________________________________________________________________
Signature:

_________________________________________________________

Date:

_________________________________________________________

Please mail the completed form to the following address:

Glassdoor Inc.
Attn: Legal Department
Re: Opt-Out Notice
100 Shoreline Highway, Building A
Mill Valley, CA 94901
For new Glassdoor users, the Opt-Out Notice must be postmarked no later than 30 days after the date you
accept the Glassdoor Terms of Use for the first time. It's your responsibility to mail the Opt-Out Notice by
the applicable deadline.