Product Claim Form





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




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





Additional Information
Photo 1
.jpg, .png, .pdf, .doc
Photo 2
.jpg, .png, .pdf, .doc
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