Form 33 11b 2026

1. Click ‘Get Form’ to open the E-ZPass Customer Claim Report in the editor.
2. Begin by filling out your personal information in the 'Customer Information' section. Enter your name, address, city, state, zip code, and phone number clearly.
3. Provide your E-ZPass Transponder Number and License Plate details. Ensure that the state of registration is also included.
4. In the 'Entry Interchange' and 'Exit Interchange' sections, input the relevant details along with the corresponding dates and times of entry and exit.
5. Select the reason for your claim by checking one of the boxes: returning an unused ticket, contesting a toll charge, or other. If you select 'other', please provide a brief explanation.
6. Finally, review all entered information for accuracy before signing at the bottom of the form.

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