Device Account Legacy Contact Setup Form
Designate a trusted individual to manage your device account in case of unavailability.
Account Holder Information
Please provide your personal details as the current account holder.
Full Name of Account Holder
*
First Name
Last Name
Email Address of Account Holder
*
example@example.com
Phone Number of Account Holder
*
Please enter a valid phone number.
Format: (000) 000-0000.
Device/Account Details
Specify the device or account for which you are setting up a legacy contact.
Device/Account Name
*
Device/Account ID or Username (if applicable)
Legacy Contact Information
Enter the details of the person you wish to designate as your legacy contact.
Full Name of Legacy Contact
*
First Name
Last Name
Email Address of Legacy Contact
*
example@example.com
Phone Number of Legacy Contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship of Legacy Contact to Account Holder
*
Please Select
Family Member
Friend
Legal Representative
Other
Reason for Designating this Legacy Contact (optional)
Special Instructions for Legacy Contact (optional)
Signature of Account Holder
*
Date of Submission
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: