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Get Asurion F-017-48-AEN 2011

Inc. Control# F-017-48-AEN Rev 14 EDT: 11/1/07 RDT: 11/4/11 Sworn Affidavit and Proof of Loss Statement ALL FIELDS ARE REQUIRED AND MUST BE FILLED IN (PLEASE PRINT) USING BLUE OR BLACK INK. Mail Documents to: Asurion Attn: Review Team P.O. Box 413886 Kansas City, MO 64141-3886 Upload Documents at: Fax Documents to: 1-888-429-7719 www.phoneclaim.com/attuploader Note: If mailed, the claims process will be dependant on the timeline of mail delivery and will take longer to complete your cla.

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