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Click ‘Get Form’ to open the E-ZPass Customer Claim Report in the editor.
Begin by filling out your personal information in the 'Customer Information' section. Enter your name, address, city, state, zip code, and phone number clearly.
Next, provide your E-ZPass Transponder Number and License Plate details. Ensure that you include the correct state for both entries.
In the 'Entry Interchange' and 'Exit Interchange' sections, specify the locations where you entered and exited. Include the corresponding date and time for each entry.
Indicate the type of vehicle you were driving at the time of the transaction.
If applicable, select any additional options such as returning an unused ticket or contesting a toll charge. Provide explanations if necessary.
Finally, review all entered information for accuracy before signing at the bottom of the form.
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