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Georgia Power Claim Form

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Georgia Power Company is committed to resolving your claim in a fair and timely manner. The standard upon which Georgia Power Company pays property damage claims is negligence. We are not responsible for damages that occur due to unanticipated equipment failure, acts of nature, or any other damages due to circumstances beyond our control. Should Georgia Power accept liability, damaged items will first need to be evaluated to determine if repairs can be made. Be advised if repairs can not be made, Georgia Power will reimburse based on fair market value. Please do not discard any damaged items until claim has been resolved.

Name:
ADDRESS: Phone:

Date of Loss:

Account Number:

Item/Make/Model

Age of Item

Original Purchase Price

Receipt Yes D No Yes D No DYes D No DYes D No DYes D No DYes D,No DYes D No DYes D No DYes D No
-

DYes D No DYes D No DYes D No

* Please attach original receipts or invoices for repairs,

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