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DO NOT FAX THIS PAGE How to Submit the Required …
support.phoneclaim.comHow to Submit the Required Documentation ... ALL FIELDS ARE REQUIRED. PLEASE PRINT USING BLUE OR BLACK INK Account Owner/Authorized User information Claim agreement What happened to the device? INSURANCE FRAUD IS A CRIME For your protection, a person who knowingly presents a false or fraudulent insurance claim with
DO NOT FAX THIS PAGE How to Submit the Required …
support.phoneclaim.comSworn Affidavit & Proof of Loss Statement What device are you claiming? ALL FIELDS ARE REQUIRED. PLEASE PRINT USING BLUE OR BLACK INK Account Owner information