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Surge Protection Claim Form

Please use this form to request reimbursement for surge-damaged appliances and/or electronics.

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Please enter the address where surge damage occurred.

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Please provide a mailing address.

Surge Protection Plan details

Please select the plan you’re enrolled in.
Indicator Light
Your surge protection device has a red LED light that indicates if the device is working properly. If the indicator light is on, please consider that appliances and electronics may fail for several reasons, including routine wear and tear and from power surges that enter a home through phone or cable lines or other means not filtered by your meter-based device.
The red illuminating light is located at the 3 o’clock position of the device. See picture:
Indicator Light
Your Surge Protection Plus device will make a “beeping/chirping” alarm sound if the surge protection component of the device requires service. If you do not hear the audible alarm, the device is functioning and not defective. A potential power surge warranty claim is not valid.

Please provide claim details.

Cause of failure - Describe event (Optional)
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Please provide a description of damages.

Please note any additional details specific to this claim (Optional)
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Please provide repair company information.

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Please provide all required images:
Digital copies must be clear enough to read and should include
  • The license number of the authorized electronic repair company
  • Technician’s signature
  • Estimates for each surge-damaged product
  • Each product’s model number and serial number
We support JPEG, JPG, PNG, BMP, HEIC Maximum file size 4 MB
Please ensure your image is in a supported file format (JPEG, JPG, PNG, BMP, HEIC) and does not exceed the maximum 4 MB file size.