Information Form

*Entity Name

*Authorized Representative First Name

*Authorized Representative Last Name

*Current Address

Current Address Continued

*City

*Country

*State

*Zip Code

*Email Address

Phone Number

PAYMENT METHOD

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DECLARATION OF TRUTHFULNESS AND ACCURACY

I certify that the above-named entity purchased an iPhone 15 Pro, iPhone 15 Pro Max, iPhone 16, iPhone 16e, iPhone 16 Plus, iPhone 16 Pro, or iPhone 16 Pro Max between June 10, 2024 and March 29, 2025 in the United States and at the time of purchase, the above-named entity expected to receive a Siri Apple Intelligence feature and did not receive it.

By clicking “Submit Claim Form” I certify that the information above is true and correct to the best of my knowledge and belief. I understand that my claim is subject to audit, review, and validation.

Claim Form

Representative & Entity Information

DECLARATION OF TRUTHFULNESS AND ACCURACY