This form should be completed when a repair is blocked in GSX due to FMiP device lock and where the customer has provided the valid proof of purchase proving device ownership. The Authorized Partner should complete this form and attach the proof of purchase receipt of the products original retail purchase. Troubleshooting Has the customer tried to turn off remotely via online iCloud.com/nd access? Yes No Has the customer tried to reset their password at appleid.apple.com? Yes No If you answer no to either of these questions, submit the form only after the customer attempts those steps.
Product Information Serial Number: IMEI (cellular devices only): Product Description:
Original Sales Information
Purchase date: Year (YYYY) Month (MM) Day (DD) Invoice/receipt number: Name: Phone number: Street address: City/State: Postal: Country code: Email address (if available): Additional comments:
ALL FIELDS ARE REQUIRED
The customers statutory warranty rights are the same whether or not the proof of purchase is validated. Apple will protect personal information in accordance with the Apples Customer Privacy Policy available at www.apple.com/legal/privacy.
Version 1.2 | February 2014 P r o o f - o f - P u r c h a s e :
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