Damaged Furniture Claim Form
Please inspect all merchandise thoroughly and note any visible damage before signing the delivery receipt/Bill of Lading (BOL). Please take photos of the damage for your records. All damage must be noted on the delivery receipt, or your claim will be denied. Badly damaged cartons should not be accepted from the carrier. For any claim to be considered, the damaged item(s) must not be removed from the delivery location and the original packaging must remain intact, unless refused by the receiver and sent back with the carrier at the time of delivery.
Your Full Name
*
First Name
Last Name
Company
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Touchup Kit/Hardware Request
Shipping Address:
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Sales Order/Shipment No. (located on top right corner of packing slip)
*
Where is the item located?
Commercial Receiver
Residence
Showroom
Refused Shipment
Other - please fill in box/question below
If Other location (above), please enter the address where merchandise is now located and any supporting details related to location
SKU of damaged item
No. of items damaged
Description of the Damage
*
Upload Photos of the Damage
Upload a File
Drag and drop files here
Choose a file
Please include (2) carton photos, (1) distance/full product photo, (2) detail photos clearly depicting your concern.
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of
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