Thank you for being a valued Belkin Customer. This form will allow you to submit a refund request for your Belkin Portable Wireless Charger + Stand, WIZ003. To help expedite the process, please fill out the form with all the requested information and attach photos of your Belkin WIZ003 showing the serial number printed on the Battery Pack.

For more information on this recall please visit https://www.belkin.com/us/support-article?articleNum=317696

Customer Information

Please enter your name and contact information. All fields are required. Please ensure that the information is accurate as we will be using it to provide your refund and contact you if necessary.

Product Information

Please enter in the serial number and date of purchase for your Belkin Portable Wireless Charger + Stand, WIZ003. The serial number can be located on the back of the battery pack. If you do not know the exact date of purchase, please choose todays date. If you purchased more than one WIZ003, click Add Another Product for each additional purchase.

WIZ003

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Attach and upload your Product Photos

As part of the program you will need to submit photos of the back of the WIZ003 battery pack showing the model number and serial number. This is required for all submissions. All attachments should be 5 MB or smaller in size.

To select multiple files for upload:

• On Windows, hold the Control (CTRL) key and click on each file you want to select.
• On MacOS, hold the Command (⌘) key and click on each file you want to select.
• On iOS tap on each file you want to select.
• On Android tap and hold on each file you want to select.

Submit Your Request

Before you submit your request, please look over your form and ensure that:

1. You have filled out all of your information correctly
2. You have uploaded photos showing the model number and serial numbers of all applicable WIZ003 products you are submitting as part of this program.

Once you have verified everything, click the Submit button below.