Blaze Customer Promise Claim Form

Customer Information
Claim Information
Which customer promise are you claiming against?
What date did you first file this billing query?
What date did you first file this service query?
What date was this bill query completed?
What date was this service query completed?
Upload documents supporting your claim
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.
Upload documents supporting your claim
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.
ID of account owner
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.