From the agreement
I certify that at least one of the accounts I provided in this claim form was used between January 1, 2011 through May 14, 2011 and that, because of the Intrusions, none of them was used after that through June 13, 2014. I would like to close all of the listed accounts. If any associated wallet has a balance of paid virtual currency of $2 or more, I would like to receive a payment equal to that balance.
PLEASE NOTE THAT, IF YOU CHOOSE "YES" AND ARE ELIGIBLE TO RECEIVE THIS BENEFIT, ALL OF THE ACCOUNTS LISTED IN THIS CLAIM FORM WILL BE CLOSED AND NEITHER YOU NOR YOUR LINKED ACCOUNTHOLDERS CAN CLAIM ANY OTHER BENEFIT UNDER ANY OTHER SECTION OF THIS PLAYSTATION NETWORK ACCOUNT BENEFITS CLAIM FORM BELOW.
Please check here to confirm you wish to make a Wallet Balance Payment Claim. If you want to keep your account(s) open, do not check this confirmation box. You can instead submit a claim for benefits under another section of this Claim Form, if you qualify, as described in those sections.