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Claim Forms
The downloaded Claim Forms are in PDF format. Acrobat Reader is required to view the PDFs. You may already have the Adobe Acrobat Reader on your computer or on disks that came with your computer. If you do, you won't need to download Adobe Acrobat. If you do not have Acrobat, you may download the Free Adobe Acrobat Reader.
Options Available:
- You may submit a Claim Form if you received a bill including the AT&T $3.95 monthly recurring charge directly from AT&T through this website and mail in your signed Certification.
- You may submit a Claim Form if you received a bill including the AT&T $3.95 monthly recurring charge directly from your local telephone company through this website and mail in your signed Certification and any supporting documentation.
SUBMIT A CLAIM FORM ONLINE AND MAIL IN YOUR SIGNED CERTIFICATION
AND SUPPORTING DOCUMENTATION (if applicable)
AND SUPPORTING DOCUMENTATION (if applicable)
DOWNLOAD AND MAIL IN A CLAIM FORM
- You may download a Claim Form if you received a bill including the AT&T $3.95 monthly recurring charge directly from AT&T through this website.
- You may download a Claim Form if you received a bill including the AT&T $3.95 monthly recurring charge directly from your local telephone company through this website.
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