Plan Cancellation Request Form

Plan Cancellation Request Form

This form is to request cancellation of your Samsung Care+ plan that migrated from Asurion to Servify on January 18th, 2023.

First Name*

Last Name*

Plan Email*

Provide the email associated with the Asurion plan that was migrated to Servify.

Plan Mobile Number*

Phone

Phone Model*

ex. Samsung Galaxy S22

Phone IMEI*

Asurion Date of Cancellation

Did you request Asurion to cancel this plan? If so, please provide a date.

Send me a copy of my responses

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