Customer SIWO Form

Help us help you!

By completing this form, you're helping us achieve
a faster-than-ever turnaround time for your service and warranty needs.
Thank you for your cooperation!

Note: Charges will apply for any services not covered under manufacturer warranty.
Widmer
Location

Where is the damaged product located? The faster we find it, the faster we fix it!
Company Name *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Department Name
Room Number
Your Name *
Your Phone *
Your Email *
Only for communication related to this request
If you are not the main point of contact, please list the site contact's information below:
Site Contact Name
Phone
Email

Product Detail

Please provide as much information as possible about the product in need of repair.
Product in need of Repair *

Chair Table Filing/Storage Desk Workstations/Cubicles
Quantity to repair
A manufacturing label or sticker can often be found on one of the inside walls of the drawer, or on the outside of a drawer when it is pulled out.
Is there a manufacturing sticker? *

Yes - Let me take a picture for you! Yes, but I'm unable to attach a picture No
*

Upload Photo of Sticker

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Note: Product without manufacturing tags will not be covered under warranty.

Information from the Sticker

This will help us provide you with the correct service and warranty information.
Manufacturer *
Other Manufacturer
Widmer Order # or PO#
Model #
Model Name or Model #
FO#
*required for warranty
Sales Order (SO#)
Mfg. Date

No Sticker?

Help us narrow it down by providing as much information as possible about the product. Hover over the image to learn more!
Do any of the chairs above look like your chair? (Hover over the images for chair names)

HMI Caper Task HMI Mirra 2 HMI Caper Side HMI Embody HMI Aeron HMI Sayl SitOnIt Novo SitOnIt Torsa None of these look like my chair
Is there a PO or Order to reference?
What type of seating is this? *
Product Description
Please be as descriptive as possible.
Please upload image of product in need of repair

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The Issue At Hand

Give us an idea of what's going on.
When did you first notice the issue? *

From the beginning A while ago Just now
Which component has the issue? *
Or

I don't know
Other Component *
What is the general issue? *
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue?
How would you best describe the issue? (brakes- function)
Specifically, what is missing?
Please describe the issue in as much detail is possible.
Is there anything else you think we should know about this issue?
How would you like us to proceed in fixing your issue? *

Send a Service Tech out to make the repair for me Ship the parts directly to me - we will coordinate the repair
Shipping Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Worth A Thousand Words

Show us! It is extremely helpful to provide photos of the damaged product.
Upload a File
You may upload more than one file Cancel of
Should be Empty:

Location