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Submit a Claim

Previ Member Name

*

Damaged Device IMEI

*

This can be found in Settings > General > About or by dialing *#06#. If unable to get the IMEI please put the make and model of the device.

Phone Number

*

Phone Storage Size and Color

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Damaged Device Photos

*

Please upload 3 photos showing the front, back, and side of the device. Please remove your phone case prior to taking the photos. You can put it back on after.

How did the device get damaged

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Please provide a description of the incident.

Incident Date

*

When was the device damaged

Device Address

*