Extended Warranty Claim Form

Please fill out the following details.

In order for us to lodge your extended warranty claim, we need to obtain some specific information. Please complete the Online Claims Form below or download the version and return to advantage.plus via post or email.

Advantage.plus will assess the information provided and contact you via phone/email in order to progress your claim within 2 business days. Your device and the product will be physical assessed by a product specialist, which can take up to 3 business upon receiving both items and our service centre.

IMPORTANT:

Please note that if you do not supply all relevant information requested in this form, processing of your claim may be delayed or denied.

Warranty Holder

Warranty Policy Number:………………………………..

Full name:……………………………………………………………………………...

Psychical Address:……………………………………………………………………

Suburb:…………………………….State/Territory:…………Postcode…………..

Post Address:As above:………………………………………………………….

Suburb:…………………………….State/Territory:…………Postcode…………..

Daytime contact no:……………………………………..

Company name:………………………………………………………………………

Email:…………………………………………………………………………………...

Top of Form

Product Covered:  Dragon Glass  Seidio ObexNanoflowX

Bottom of Form

Handset Information

Please fill out the following details on the Handset covered under this extended warranty.

Mobile number of usual SIM:………………………….

Network:………………………………………………….

Make of phone:………………………………………….

Model of phone:…………………………………………

IMEI or Serial number:………………………………………………………………

Press *#06# on your handset to get your IMEI, it can also be available on the back of the handset, the original box, receipt or printed in the battery compartment or access panel of the handset.

call1300 475 267 post PO Box 232 HRMC 2305

Claim information

Please supply all relevant information in detail about how the damage to your device occurred in this form. Product specialist will be assessing your device and product to determine if your product was used in accordance with the manufacturers specifications.

Date of Damage (DD/MM/YYYY):………………………….

Time of Damage (0:00AM/PM):…………………………….

How did the Damage occur?

(Please provide a specific and detailed explanation of how the damage occurred. Failure to provide specific and required detail may result in your claim being rejected or delayed)

……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………...……………………………………………………………………………..……………………………………………………………………………..…………………………………………………………………………….Please detail the damage / faults occurring with your Mobile/Tablet

(Example: screen cracked, turns off intermittently, cannot hear audio)

Please list all faults / damage to ensure correct assessment of the device.

……………………………………………………………………………..……………………………………………………………………………..

……………………………………………………………………………..

……………………………………………………………………………..

……………………………………………………………………………..

Does the mobile/tablet switch on?......

Has the mobile/tablet ever sustained liquid damage?......

Has this device ever been replaced under warranty?......

Are you the user of the device?......

If you do not have sufficient space to complete your explanation of damage please use a separate piece of paper and attach to your Claim Form.

Theseextended warranties are available for Australian Permanent Residents who have been granted Australian Permanent Residency by the Australian Department of Immigration and Australian Citizens only, please ensure you match this criteria before purchasing a policy.

Pleasekeep your handset and Extended Warranty receiptalong with yourPDS and IMEIin a safe location as they will be required when making a claim.

call1300 475 267 post PO Box 232 HRMC 2305

Please note allextend warranty claims have an applicable excess. Please refer to your Product Disclosure Statement for the applicable excess. Do not send any excess with this form; all excess payments will be collected at the approval of the claim.

If you use email to communicate with advantage.plus please check your junk mail filters and ensure advantage.plus emails are not filtered incorrectly.

advantage.plusis run by mobile industry specialist and support it’s customers in good faith. If at anytime during the claims process it is suspected that anyone is attempting to defraud the insurer, advantage.plus will instigate legal action to prosecute those responsible for fraudulent activity and involve the Australian Federal Police and other relevant Australian Authorities.

PRINT FULL NAME HERE

I ...... declare that the information I have supplied in this claim form is true in every respect

SIGNITURE OF CLAIMANT DD/MM/YY

...... …./……./……..

Please forward your completed Claim Form and attached documents where applicable to the below options:

call1300 475 267 post PO Box 232 HRMC 2305