Device Claim Affidavit (1) Done 1
Device Claim Affidavit (1) Done 1
Complete this form in its entirety. ecoATM may request additional information to support the claim.
You may need to share your personal information, including your government ID image, with ecoATM to verify
device ownership. By doing so, you authorize ecoATM to collect, store, and use your information, including
government ID image, for as long as necessary to prevent fraud, investigate crimes, or comply with applicable laws.
We will not use this information for any undisclosed or unauthorized purposes, nor will we share it with third parties
without your explicit consent, except as required by law or for investigative purposes.
Learn about our data handling at http://www.ecoatm.com/privacy-policy/.
By signing below, I certify that the foregoing is true and correct; and that I am the legal owner of the device and I
have reported said device as missing to law enforcement and/or my wireless carrier. I understand that ecoATM may
share information about my claim to law enforcement in order to prevent fraud and help investigate crimes.
Print Name: Nolan Baca
Signature: Nolan Baca Date:
Who is ecoATM?
ecoATM operates a nationwide network of automated kiosks that allow consumers to recycle their used personal
electronics. ecoATM kiosks have numerous security features to prevent unauthorized sale of devices; however, on rare
occasions the kiosk will take in a device that is later reported missing. It is our company policy to return such devices to
either the rightful owner or law enforcement, free of charge.
If you have questions, please email [email protected] or call (858) 255-4111 during normal business hours
(6 am to 5 pm PT, Monday through Friday).
ecoATM | 10121 Barnes Canyon Rd, San Diego, CA 92121