Product Claim Form

 

PRODUCT CLAIM

 

 

Inspection Details:

 

* Date of Complaint
* Newflor Area Manager
* Inspection Date

 

 

Retailer Details:

 

* Account Name
* Customer Contact Number
* Store Address

 

 

Product Details:

 

* Product Code
* Quantity Supplied (Lm)
* Quantity Involved in Complaint (Lm)
* Newflor Invoice Number
* Date Supplied
* Retail Value of Installation
Additional Details

Problem & Details:

 

* Complainant Name
* Complainant Address
* Nature of Complaint
* Location of Product in Building
* Sub-floor (Specify Type)
* Adhesive Used
* Photos Supplied?
* Sample Supplied?
* Opinion as to Cause of Problem
* Newflor Area Manager's Recommendations

 

Actions:

 

Credit Approved?
Credit Value
Credit Note Number
Credit Note Date
* Product to be Returned?

 

 

Other:

 

Additional Information
SUBMIT
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