Please follow the three easy steps below to complete and submit your affidavit.
We apologize for any delay this causes in your claims process, but the security of your account is very important to us!
You can obtain your affidavit by entering your phone number, Claim ID and clicking the Get Affidavit button.
What you will need to complete your affidavit.
| Acceptable Forms of ID | Nonacceptable Forms of ID |
|---|---|
| 1. Valid Driver's License | 1. Student IDs |
| 2. US or Foreign Passport | 2. Work IDs |
| 3. Military ID (Active or Retired) | 3. Birth Certificates |
| 4. State or Federally Issued ID Card | 4. Social Security Cards |
| 5. Matricula Consular ID |
Once we receive your documents, we will review them and contact you regarding next steps within 24 hours via email or automated voice message.
If you are having difficulty using the uploader, you may submit your affidavit by faxing to Asurion at 1-800-317-2296, or by mail using the following address:
Asurion Attn: Review Team (nTelos)