STORE details
Store Name
*
Blundstone Account Number
*
Claim submitted by
*
Contact Phone Number
*
Format: 0000-000-000.
Contact Email Address
*
Store Address
*
ADDRESS MUST BE WITHIN AUSTRALIA TO PROCEED
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CUSTOMER DETAILS
Customer Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: 0000-000-000.
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PRODUCT & FAULT details
Style Number
*
Size
*
Blundstone Invoice Number/Store PO
*
Country Manufacture
*
Located inside the boot on the tongue or tab attached to the elastic side
Located inside the boot on the tongue or tab attached to the elastic sideFault Type
*
Upper
Sole
Leather
Upper Fault Description
*
Please Select
UPPER-BACK SEAM STITCHING
UPPER-BACKSTRAP CROOKED
UPPER-BACKSTRAP STITCHING
UPPER-BOA SYSTEM
UPPER-COLLAR STITCHING
UPPER-COLLAR WORN/TORN
UPPER-COUNTER CREASED
UPPER-COUNTER STITCHING
UPPER-COUNTER WORN
UPPER-ELASTIC STITCHING
UPPER-HARDWARE DEFORMED
UPPER-HARDWARE LOOSE/PULLED
UPPER-HARDWARE MISSING
UPPER-LEAKING W/P ONLY
UPPER-LINING COUNTER
UPPER-LINING CREASED/WRINKLED
UPPER-LINING WORN/TORN
UPPER-MOULD BITE BEHIND SCUFF CAP
UPPER-MOULD BITE TOE/HEEL
UPPER-NEW FAULT
UPPER-OVER ROUGHING VISIBLE
UPPER-PULL TAB/LOOP PINCHED/TORN
UPPER-PULL TAB/LOOP STITCHING
UPPER-SIDE SEAM
UPPER-SPLIT/CRACKED UPPER
UPPER-STITCHING ABRASION
UPPER-TOE CAP
UPPER-TOE GUARD
UPPER-TOE PUFF COLLAPSED
UPPER-UNDER FRONT CREASED
UPPER-UNDER ROUGH
UPPER-VAMP STITCHING
UPPER-VELCRO STITCHING
UPPER-VELCRO WORN/TORN
UPPER-ZIP BROKEN/JAMMING
Sole Fault Description
*
Please Select
SOLE-CRACKED/SPLIT SOLE
SOLE-DELAMINATION FOOTBED
SOLE-DELAMINATION OUTSOLE-MIDSOLE
SOLE-DELAMINATION OUTSOLE-UPPER
SOLE-INSOLE BUCKLING/CREASED
SOLE-MICRO BIOLOGICAL
SOLE-NEW FAULT
SOLE-PREMATURE WEAR
SOLE-SQUEAKING
Leather Fault Description
*
Please Select
LEATHER-COLOUR VARIATION
LEATHER-CRACKED
LEATHER-HARD
LEATHER-MARKED
LEATHER-MOULDY
LEATHER-NEW FAULT
LEATHER-SPLIT
LEATHER-TORN/SCUFFED
Additional comments
Describe the fault with the boots and add any further information.
Top Photo
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Attach a photo of the top of your boots (left & right boot).
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Side Photo
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Attached a photo of the profile of your boots (left & right boot).
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Sole Photo
*
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Attached a photo of the soles of your boots (left & right boot).
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Date Stamp/Size Dial Photo
*
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Attach a photo of the Date Stamp and Size Dial on the sole of the boot.
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Fault Photo
*
Upload fault photo(s)
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