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Unitron loss and damage form 2026
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- Click ‘Get Form’ to open the unitron loss and damage form in the editor.
- Begin by entering your personal information in the 'Claimant’s information' section. Fill in your name, date of occurrence, hearing aid model, and serial number(s).
- For RIC only fields, specify the receiver type, side, length, and whether it is rechargeable. Select options as applicable.
- In the 'Description of how hearing instrument(s) was lost or damaged' section, provide a detailed account of the incident.
- Next, complete the 'Dispenser information' section with your name, account number, address, city, state, phone number, zip code, and fax number.
- Sign the form in the designated area for the claimant's signature. Ensure this is done in front of a notary public.
- The notary will complete their section by signing and placing their seal on the document.
- Finally, return the completed form to Unitron Customer Service via fax at 800.521.5400.
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