DO NOT FAX THIS PAGE
REQUIRED Steps to Complete Your Claim
Fill out the claim affidavit and sign the document
Attach a photocopy of a Valid ID (See Examples of Valid IDs below)
Upload your documents at www.phoneclaim.com/sprint-uploader or
Please visit www.phoneclaim.com/sprint to check the status of your claim
Fax to 1-888-832-0511.
Examples of Valid Personal Identification
Student IDs, work IDs, birth certificates and Social Security cards are not acceptable as valid identification.
EXAMPLES – The following are some examples of valid forms of photocopied personal identification:
Federally Issued ID Card
US or Foreign Passport
Matricula Consular ID
US Military ID Card
Important Reminders to prevent delays in processing your claim:
Name on the ID must match name of the account holder.
All forms of identification must be legible, unaltered, and legitimate.
The ID cannot be expired. If the ID appears altered, forged, or not legitimate, we will not be able to proceed with your claim.
Increasing the size of the ID and lightening before faxing assists with the review of your documents. Black and white copy preferred.
How to identify your Device Manufacturer and Model
The easiest way to find your manufacturer and model of the phone/device you are claiming is to remove the back cover and battery. The make and model should be listed near the barcode on the back of the phone/device.
If you do not have the phone/device, you may want to check your receipt from the purchase of the phone/device, your service agreement, the box the phone/device came in, a recent copy of your bill, or your account at your carrier’s website.
For iPhone the model number is on the back cover of the phone. For additional information please refer to: http://support.apple.com/kb/HT3939 All documents must be legible. Once we receive the items listed above, we will complete our review of your claim. You must return all documentation to the address listed on the affidavit within 60 days of the date you requested your replacement as provided in the Coverage Certificate or your claim may be denied. If you have any questions please contact us at 1-800-584-3666 or visit us online at www.phoneclaim.com/sprint
For the Equipment Protection Program: Underwritten by Continental Casualty Company, a CNA company. Program agent: Asurion Protection Services
LLC (In California, Asurion Protection Services Insurance Agency, LLC (CA License Number: OD63136); in Puerto Rico, Asurion Protection Service of
Puerto Rico, Inc. Puerto Rico Resident Agent Jorge J. Amadeo, Eastern America Insurance Agency, Inc.)
*In California, Asurion Protection Services Insurance Agency, LLC (CA License Number: OD63136); in Puerto Rico, Asurion Protection Service of Puerto
Rico, Inc. Puerto Rico Resident Agent Jorge J. Amadeo, Eastern America Insurance Agency, Inc.
Control# F-017-50-SEN Rev 08
Sworn Claim Affidavit
ALL FIELDS ARE REQUIRED AND MUST BE FILLED IN (PLEASE PRINT) USING BLUE OR BLACK INK.
Upload Documents at www.phoneclaim.co m/sprint-uploader
Fax Documents to: 1-888-832-0511
Mail Documents to:
Asurion Attn: Review Team
P.O. Box 413886
Kansas City, MO 64141-3886
Note: If mailed, the claims process will be dependent on the timeline of mail delivery and will take longer to complete your claim than faxing. IMPORTANT LEGAL NOTICE: Any person who knowingly and with intent to injure, defraud or deceive any insurer, files a statement of claim containing any false, incomplete, or misleading information is guilty of insurance fraud, which is a crime. All