Customer Warranty Form
Please complete this form and someone from our warranty department will contact you within 48 hours.
Who Is Filling Out This Form?
First Name
Last Name
Homeowners Name
*
First Name
Last Name
Homeowners Phone Number
*
-
Area Code
Phone Number
Homeowners Email
*
example@example.com
Homeowners Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Builder (If not sure leave blank)
Builder Point Of Contact (If not sure leave blank)
First Name
Last Name
Builder Point Of Contact Phone Number (If not sure leave blank)
-
Area Code
Phone Number
Contact Homeowner Directly, Or Builder Only?
*
Yes, Please contact Homeowner directly
No, Please contact the builder only
I am the homeowner
If this is being filled out by the homeowner, please check the homeowner option
Subdivision (If not applicable leave blank)
Lot Number (If not sure leave blank)
What type of material are you having an issue with?
*
Hardwood
LVP
Tile
Carpet
Sheet Vinyl
Other
Do you have any extra material onsite from the original job:
*
Yes
No
Brief description of the issue and the area/room where the issue is taking place:
*
Please take pictures of the areas with issues and any extra material you may have. If you are unable to upload the pictures via this form please send them to warranty@premierflooringky.com. Thanks!
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Please enter an email address here if you would like to forward a copy of the completed form:
example@example.com
Please enter an additional email address here if you would like to forward a copy of the completed form to someone else:
example@example.com
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