Death of a Love One

Topics: Insurance, Identity document, Passport Pages: 6 (1054 words) Published: January 22, 2013
Asurion Documentation Process


REQUIRED Steps to Complete Your Claim

Fill out the Claim Affidavit, being sure to sign the document.


Upload your documents at or Fax your documents to 1-800-861-7503

Attach a photocopy of a Valid ID (See examples of valid IDs below)

Once your claim is ready for completion or to check the status of your claim, please visit

Examples of Valid Personal Identification
The following types of personal identification will be considered valid forms for this process: Drivers license (US or international)
Matricula Consular ID (Mexico)

State or federally issued ID
US Military ID card (Active or Retired)

US or foreign passport

Important Reminders
The name on the ID must match the name on the account or the name of an authorized user. If the name does not match, then additional documentation may be required. Lightening and increasing the size of the ID before faxing assists with the review of your documents and helps to prevent delays in claim processing. All forms of identification must be legible, unaltered, an d legitimate. The ID also cannot be expired. If the ID appears altered, forged, or illegitimate, we will not be able to proceed with your claim. 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: Drivers License

Federally Issued ID Card

US or Foreign Passport

Matricula Consular ID

US Military ID Card

Please handwrite your wireless number for the device you are claiming on all documents before faxing The easiest way to find the make, model and ESN or MEID of the phone you are claiming is to take off the back cover and battery. The make, model and ESN or MEID should be listed near the barcode on the back of the phone. If you do not have the phone, you may want to check your receipt from the purchase of the phone, the box the phone came in, or your account at your carrier’s website.

Please ensure that all documents are faxed together and the information is legible before faxing. An illegible claim number or wireless phone number could result in a delay in processing your claim. Once your claim is ready for completion or to check the status of your claim, please visit phoneclaim .com/Boost.

You may call Asurion at 1-877-880-6221 if you have questions regarding these instructions or affidavit form.


Control # F-017-55-BEN Rev 3


EDT: 8/02/10

RDT: 11/3/11

Sworn Claim Affidavit
Asurion Attn: Review Team
P.O. Box 413886
Kansas City, MO 64141-3886

Upload Documents at
Fax Documents to:

Note: If mailed, the claims process will be dependant
on the timeline of mail delivery and will take longer to
complete your claim than faxing.

IMPORTANT LEGAL NOTICE: A person who knowingly presents a false or fraudulent insurance claim with the intent to injure, defraud, or deceive any insurer is guilty of a crime and may be subject to fines and confinement in prison. When fraud is discovered, Asurion takes a ppropriate steps to stop such fraud and explores all of its available legal remedies.

Claim ID#:

Wireless device number (



1. Personal Information of Account Owner:
Insured's First Name: ________________________ Insured's Last Name: _____________________________ Daytime Phone Number: _______________________ Evening Phone Number: ________________________ E-mail address: _____________________________________________________________________________ Important: Please clearly write your E-Mail address, as Asurion will proactively contact you to confirm that we received and processed...
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