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Click ‘Get Form’ to open the fpl claims document in the editor.
Begin with Section A by entering your Homeowner’s Name, Service Address, City, State, Zip Code, and contact numbers. Ensure you provide a valid email address and describe the incident that caused the damage.
If applicable, move to Section B for SurgeShield® claims. List each motor-driven appliance affected, including details like Original Purchase Date and Price. Attach all relevant repair bills and ensure they are itemized.
For electronics claims in Section C, provide similar details for each electronic item. Indicate whether items were repaired or replaced and attach necessary documentation proving the cause of damage was a power surge.
Finally, complete Section D by stating the total amount for your claim and confirming if you've filed with any insurance or warranty company. Don’t forget to sign and date the form before submission.
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