Protection Plan Claim Form

 

IMPORTANT: Please enter the name, email address and phone number of the person that is on the Protection Plan to expedite the lookup process. The submission of this Claim Form does not automatically mean that the repairs to / replacement of the Device is a “covered Claim” under the provisions of the Plan. Coverage and Claim eligibility must be validated first. You will receive an authorization code via email after Claim is validated.


Customer Name *
Customer Name
Customer Phone Number *
Customer Phone Number
Customer Address *
Customer Address
Enter the total price of the repair from the POS
$