Warranty Claim Form

803 Housing Center

5599 Sunset Blvd

Lexington, SC 29072 803housingcenter@gmail.com

803housingcenter.com

(803) 528-9219
Warranty Claim Form
1. Only one claim per submission will be processed.

2. Picture of the claim is mandatory for us to evaluate.

3. It is in our right to disapprove any cliam request that is found incorrect or fraud.

4. All Warranty corresponces will be made via email only.
Purchase Information
Customer Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchase Date

MonthDayYear
Date
Date Issue First Noticed

MonthDayYear
Date
Describe the issue
Claim Picture

Cancelof
Should be Empty: