Product Claims Form

    SUBMITTED BY:

    SITE CONTACT:

    CLAIM DETAILS:

    • When were the fixtures that you are filing a claim on purchased?

    • Please provide Beghelli Sales Order Number or your Purchase Order Number for these fixtures.

    • How many fixtures are presenting this failure?

    • Describe the environment or location the fixtures are in

    • Describe what specific use are these fixtures for (Ex: Hallway, Garage, Building Entrance, etc.)

    • Is this claim you are filing for a structural problem or an electrical/operational problem?

    • If the fixtures have a structural problem, is the problem presented in the housing, lens, reflector, or mounting means?

    • Was the product installed with Beghelli provided mounting means following provided installation instruction?

    • YesNo

    • Has there been any modification done to the structure of the fixture?

    • YesNo

    • If the problem is electrical, are all the fixtures presenting the problem, on the same circuit?

    • YesNo

    • If the problem is electrical, is there any high powered or high consumption equipment connected to the same circuit grid as the fixtures that are failing?

    • Describe the electrical problem you are seeing on the fixtures you are claiming about.

    • Do you have a power measuring tool to measure AC and DC power, and someone on site certified to operate this equipment and electrical connections?

    • YesNo

    • *This section only applies for Emergency Fixtures
    • Have you charged the batteries for at least 24 hours till indicator shows battery charged, and then tested Emergency Mode?

    • YesNo

    • Have you reset the fixture? If not, disconnect both battery and AC power for a period of 30 seconds. Connect the fixture back up, make sure the battery is fully charged and perform the battery test again.

    • YesNo

    • Are your Emergency Lights connected to a different circuit than your standard lights?

    • YesNo

    • Have you swapped the batteries from a working Emergency light of the same model with a failing one?

    • YesNo

    • Pictures that we require to better asses and be able to attend to your claim
    • *If all fields are not filled out, the claim will not be processed. Please communicate all Claims through the Claims Dept. Not Customer Service