GemSafe Jeweler Upload Enter any item in here you want to get insured through the GemSafe program. Users will automatically be created and notified of their 6-month policy. You will be billed later for the premium. Transaction ID Must be unique; Should use transaction ID related to sale of item First Name Last Name Email Address Purchase Date Must be written out as YYYY-MM-DD Effective Date Must be written out as YYYY-MM-DD Address 1 Address 2 City State Please select…ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code Phone # Unique Item ID Should be internal ID that identiﬁes the item sold; If irrelevant, simply enter the number 0 Item Description Describe size, cut, quality of color, quality of clarity, etc.; Include any information that would assist in repair / replacement of item if damaged, lost or stolen Item Details Will be used on the certiﬁcate of insurance Type Please select…RingWatchBraceletEarringsNecklaceOther Replacement Cost $ Wholesale Value $ Need assistance with this form?