Warranty Claim Form
Who installed your Shieldme Product?
*
Approved Shieldme Dealer
Non-Approved Shop / DIY (Retail)
Not sure
Customer Information
Customer Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Warranty ID (if known)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle Information
Vehicle Year
Vehicle Make
Vehicle Model
VIN of Vehicle
Product Information
Product Line
*
Please Select
Window Tint
PPF - Paint Protection Film
WPF - Windshield Protection Film
Headlight / Taillight Film
Batch/Lot # (if known)
Date the issue was first noticed?
*
-
Month
-
Day
Year
Date
What areas are affected?
*
Describe the issue you are experiencing.
*
Upload Photos of the issue (3-5)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Proof of Purchase
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Dealer Details
Dealer Name
Dealer ID
*
Installation Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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