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Claim Documents

Download Affidavit

We require that you complete and sign a claim affidavit, and provide a copy of your ID.

This is for the security of your account:

  • To prevent possible fraudulent activity on your account and;
  • To ensure that only you or an authorized user on your account are able to file a claim

Please enter your wireless number and Claim ID, then download and print the affidavit.

Phone Number

Claim ID

A number assigned to your claim
PDF 137KB | Lost Claim ID? Download blank affidavit

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Complete Affidavit

What you will need to complete your affidavit.

  • Follow the instructions and complete all sections of the affidavit. Be sure to sign the affidavit!
  • Attach a copy of a valid ID.
  • Acceptable Forms of ID
  • Valid Driver's License
  • US or Foreign Passport
  • Military ID
  • State or Federally Issued Photo ID Card
  • Matricular Consular ID
  • Nonacceptable Forms of ID
  • Student IDs
  • Work IDs
  • Birth Certificates
  • Social Security Cards
  • Acceptable Forms of Ownership
  • Store receipt
  • Copy of back of phone
  • UPC code from box
  • Service Agreement

The name on the Photo ID must match the name of the account holder or the name of an authorized user who is over the age of 19. If the name does not match, then additional documentation may be required.

Increasing the size and lightening the ID before submitting assists with the review of your documents, and helps prevent delays in service request processing.

All forms of identification must be legible, unaltered and legitimate. The ID also cannot be expired. If the ID appears altered, forged, or not legitimate, we will not be able to process your claim.

Submit Affidavit

To upload your completed affidavit & ID, please click 'Upload'.


If you are having difficulty using the uploader, use one of the following options to submit your completed affidavit and valid ID.

Quick Option:

Fax to Asurion at 1-866-502-3171.

Slow Option:

Mail to the following address:
Asurion Attn: Review Team (T-Mobile)
P.O. Box 413886
Kansas City, MO 64141-3886

Once we receive your documents, we will review them and contact you regarding next steps within 24 hours via email or automated voice message.

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