Fillable AAA - ERS Windshield Reimbursement Form

Fill Online, Printable, Fillable, Blank AAA - ERS Windshield Reimbursement Form Form

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AAA - ERS Windshield Reimbursement Form

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The AAA - ERS Windshield Reimbursement Form form is 1 page long and contains:

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  • 12 other fields

Country of origin: US
File type: PDF

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To begin processing
y
ou
r
reimbursement,
send
u
s
this completed form and
the original receipt for the
services r
ecei
v
ed
.
EMA
IL
ERS
.
R
ei
m
b
urse
m
e
n
t
s
@
go
aaa
.
c
o
m
FAX
1-888-686-2510
MAI
L
AAA Automotive Services
P.O.
Box
24502
Oakland,
CA
9
4
62
3
-
2450
Windshield
Reimbursement
Form
Getting reimbursed for windshield repair/replacement is
easy.
Just complete the interactive form below and
email, fax or mail it
to
AAA with
the
original
receipt.
Premier
Members are eligible for a one-time $50
reimbursement for the repair or replacement of a car windshield per Membership
y
e
a
r
.
Reimbursements must be submitted in within 60 days from the date of service.
Quick Tip: For fastest processing of your
request,
please provide all
information. Remember
to make a copy of the completed form fo
r
your
r
ecord
s
.
MEMBERSHIP
#
:
4 2 9 0 0 5
F
I
R
S
T
NAM
E
:
L
A
S
T
NAM
E
:
(
plea
s
e print)
MAILING ADDRESS:
APT
#
:
CITY:
STATE:
ZIP
C
O
D
E
:
P
HON
E
NUMBER:
E
MA
IL
:
(
inclu
de area
c
ode
)
AMOUNT:
$50
SI
G
NA
T
U
R
E
:
D
A
T
E
:
Thank you for
trusting
AAA
.
If you have any questions about your Membership
benefits,
please call 800-272-2877,
option
4.
click to sign
signature
click to edit
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AAA - ERS Windshield Reimbursement Form

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Completed 26 May 2020

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