United Family Association - Worth Ave. Group - File a Claim

File a claim

Mobile & Electronic Device Protection

Cell Phone & Tablet Coverage



Be sure to review your Policy Summary - Terms and Conditions.
When you are ready, fill out the form below.



Policy / Device Information

Claim Information

Police Report (Fire)

Police Report (Theft)

Police Report (Vandalism)

Contact Information

Provide the address where reimbursement checks should be sent (if applicable)

Disclaimer & Digital Signature

 

We must advise you that any person who knowingly and with intent to defraud any insurance company files a statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact thereto, commits a fraudulent insurance act, which is a crime and may be prosecuted to the full extent of the law. By signing, I agree that the statements above are true and correct to the best of my knowledge and cannot be changed once submitted to the company.

 

Worth Ave. Group - Providing peace of mind to consumers for over 50 years.
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