Phonic Service Claims Form

Thank you for using the Phonic USA digital Service Claims form. Please fill the form out completely. It will be sent to Customer Service for prosessing. All claims will be processed by Kevin Drury, the customer service manager, within twenty four hours and then delivered to accounts payable. All claims will be paid within 3-4 weeks from the date of receipt. If you have any questions please contact customer service at 800-877-6863.

Account Number:

First Name: First Name is required. Last Name: Last Name is required.

Address 1:

Address 2:

City:

State: Zip Code: Zip Code is required.Invalid format.

Phone: Email: Email is required.Invalid format.

Model: Model is required. Serial #: Serial # is required.

Date Purchased: Select Date >

Dealer Name:

Address:

City:

Complaint:

Cause of Failure: