* All fields are required 1. Order Number 2. Point of Contact 3. Point of Contact Phone 4. Point of Contact Email 5. Current Location of Item (Address, City, State, & Zip Code) 6. Brand/Manufacturer —Please choose an option—SamsungLGOther 7. Upload picture of serial tag on unit (must be readable - max file size: 3mb) 8. Upload picture of full front view of unit box (max file size: 3mb) 9. Upload picture of full back view of unit box (max file size: 3mb) 10. Upload picture of full left view of unit box (max file size: 3mb) 11. Upload picture of full right view of unit box (max file size: 3mb) 12. Upload picture of serial tag on box (must be readable - max file size: 3mb) 13. Upload picture of clear damage including surrounding area. (powered on if possible - max file size: 3mb) Michael CastnerPhysical TV Damage Claim05.10.2022