Securus credit request form 2026

1. Click ‘Get Form’ to open the Securus Video Connect Credit Request Form in the editor.
2. Begin by entering your full name in the designated field, ensuring it matches the customer of record.
3. Input your Securus Video Connect account username or email address in the appropriate section.
4. Fill in your complete physical address as listed on your account for accurate identification.
5. List each session that you are disputing by providing the date, time, and from whom the session was initiated. Make sure to include all relevant details for each entry.
6. Review the terms regarding Securus's responsibility for interruptions and ensure you understand them before proceeding.
7. Sign and date the form at the bottom to authorize Securus to investigate your claims.
8. Submit your completed form via our platform by attaching it through the Ask A Question page, faxing it, or mailing it to the provided address.

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