Claims Department
Chiswick Place
272 Gunnersbury Avenue
London, W4 5QB

Claim Statement
Claim Statement
Email: tescophoneinsurance@asurion.com
Fax: 020 3249 7942

Please make sure you complete all of the fields, otherwise your claim may be delayed or declined.

If we find any false or misleading details we can refuse to settle the claim and may cancel your policy. If we have any reason to suspect that fraud is being committed, it will be investigated and may lead to your prosecution. We may put details of your lost or stolen phone onto a central equipment register and report it to relevant authorities for the purpose of crime detection and prevention.

* Please complete all of the fields in CAPITALS using BLUE or BLACK ink only.
* Once you start your claim, you have 60 days to complete it.
* If you provide us with your email address, we’ll contact you as soon as we can with our claim decision

Section 1: About You

First Name

Last Name

Home Address

Post Code
Post Code

Daytime Contact Number Evening Telephone Number

Email address

Section 2: About Your Phone

Mobile Number (of the phone you are claiming for) Make (Manufacturer eg. Blackberry, Apple, LG etc)

Model (eg: Xperia, iPhone4 32GB, Tocco) Colour

IMEI (shown on your insurance certificate. If you have the phone, remove the back as the IMEI is printed under the battery)

Section 3: About the Incident

Claim Reason (tick): Lost Stolen Damaged Faulty

Last message sent: SMS email Call None

Date you last used the phone (dd/mm/yyyy) Incident Date / Date Incident Discovered (dd/mm/yyyy)
/ / / /

Where is the phone / where did you last see it?

Name of...

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