*All fields must be filled out, unless otherwise noted. Incomplete forms will not be processed. Please communicate all claims through the Claims Department and not through Customer Service.

SUBMITTED BY:

PRODUCT CLAIM DETAILS:

• * Upload 1 photo of the individual box, where damage is visible

• * Upload 1 photo of the damage on the product

• If product arrived on pallet, upload 1 photo of the pallet (optional)