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UtilityShieldSURGE PROTECTION Service Agreement Claim FormCUSTOMER INFORMATION (Please Print) Name CityAddressStateCell Phone Number (optional)Phone NumberEmail Address (optional)REPAIR PROVIDER INFORMATION

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What is file a claim for?

File a claim is for submitting a formal request for compensation or benefits for a specific event or situation.

Who is required to file file a claim for?

Anyone who has experienced a loss or is entitled to benefits as a result of a specific event or situation is required to file a claim.

How to fill out file a claim for?

To fill out a claim, you need to provide detailed information about the event or situation, including date, time, location, and any other relevant details.

What is the purpose of file a claim for?

The purpose of filing a claim is to formally request compensation or benefits for a specific event or situation that has resulted in a loss.

What information must be reported on file a claim for?

Information such as date, time, location, description of the event, and any supporting documentation must be reported on a claim form.

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