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Get Securus Video Connect Credit Request Form 2020-2024

(User Name / Email Address), and my physical address is (Complete Address Contact Address from Account). I hereby affirm that the following Securus Video Connect session(s) disconnected prematurely before I or the other party completed the session(s). I am disputing the following session(s) billed to my above referenced account: Date: Time: From: Date: Time: F.

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