Claims

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Purchaser Information

First Name(Required)

Last Name(Required)

Street Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Phone Number(Required)

Email Address(Required)

Order Information

Store/Sales Rep Purchased From(Required)

Order Number(Required)

Product Purchased(Required)

Product SKU or Brand and Color

Order Receipt

Max. file size: 256 MB.

Please provide a clear image of your order receipt

Date Purchased(Required)

Date Received

Installer Information

Installation Type(Required)

Installer Name (if not installed by you)

Installer Phone Number

Installer Email Address

Installation Information

Date Installation Completed(Required)

Location of Product Installation

Acclimation period(Required)

Moisture test reading (if applicable)

Type of Subfloor(Required)

Subfloor Preparation(Required)

Was the heat/AC used during installation?(Required)

Type of Heating/Air Conditioning

Installed around or under island/cabinets(Required)

Expansion space(Required)

Flooring care and maintenance details(Required)

Type of Traffic(Required)

Claim Information

Earliest Date of Issue(s)

Issue(s) Description

Square Footage Affected

Additional information

Flooring Images(Required)

Drop files here or