Mintech Warranty & Premature Breakage Claim Form

We're sorry to hear that your footwear didn’t hold up as expected.
To help make the claim process as smooth as possible, please take a moment to review how it works:

Stage 1 | Claim Submission

You submit your warranty or premature breakage claim along with the required details.

Enter a separate claim per invoice number.

Stage 2 | Claim Pre-Qualification (1–3 business days)

Our Warranty Team reviews your claim.

If all required information is complete and the basic criteria are met, your claim will move forward for physical review.
Missing or incomplete details may cause delays.
You will receive instructions on how to return your damaged footwear. Please note that Mintech does not typically arrange pickup for damaged items.
If your preferred replacement model is in stock, we will temporarily reserve it for you for 5 business days.

Stage 3 | Physical Review

After we receive your footwear, our Warranty Team conducts a full inspection.

If your claim qualifies under warranty, a Warranty Credit Memo will be issued and forwarded to our Accounts Department for processing.
For Premature Breakage claims, the necessary documentation and applicable discounts will be reviewed and approved by the Accounts Department.

Stage 4 | Remedies

Refunds (full or partial) are available only for claims submitted within 20 calendar days of purchase.
Replacement models and sizes depend on current stock availability. In some cases, warranty replacements may be placed on back-order.

I have read and understood the conditions above.*

Yes

Date of Submission

Date

Full Name*

PrefixFirst NameLast Name

Company Name*

Email (ALL communication will be sent via email.)*

Confirmation Emailexample@example.com

Phone Number (We might need to call you during the process.)*

Please enter a valid phone number.Format: (000) 000-0000.

Do you have access to the soft/hard copy of the invoice?*

YesNo

Invoice Number*

Please enter the invoice number(s) on which the damaged product(s) was issued.

Invoice Date*

Date

Days since invoice

What type of claim are you submitting?*

Warranty Claim (Within 45 calendar days of purchase)Premature Breakage Claim (More than 45 calendar days since purchase)

Fill in the wearer information below and select the checkboxes that apply to their work environment(s). *

Rows	First & Last Name	Gender	Size	Metric	Shoe Model	Cement	Chemicals	Dry Warehouse	Extended Water Contact	Foot Bath
Wearer #1
Wearer #2
Wearer #3
Wearer #4
Wearer #5

Enter the wearer information below and select the checkboxes that apply to their work environment(s). *

Rows	First & Last Name	Document Line Nbr	Cement	Chemicals	Dry Warehouse	Extended Water Contact	Foot Bath
Wearer #1
Wearer #2
Wearer #3
Wearer #4
Wearer #5

Put any additional information about the wearer's work conditions below.

Is the defective footwear still being worn?*

YesNoMixture (Enter names)

Are you one of the wearers?*

YesNo

Upload a clear picture of the footwear defect here (One image per defective item).*

Upload a clear, close up image of the label on the tongue of the footwear here. Text on the label should be legible. (One image per defective item).*

Upload a picture of the front of the box that the footwear came in, clearly showing box labels. (One image per defective item).*

Put any additional information/details about the defective footwear here.

If your warranty is pre-approved for physical examination, can team members come in-person and wait for their case to be reviewed (usually about 30 minutes)?*

YesNo

If "no", can team members work without their footwear until their warranty is reviewed, processed and the remedy released (typically 3-4 business days)?*

YesNo

What is your desired remedy?*

Replacement of same model and size (free of charge)Full refund (applicable only if return is made within 20 days of the purchase)Exchange for a different model or size (any price difference will be paid by the customer)Store credit for the full value of the returned itemCombination

Indicate your desired remedy per wearer. *

Rows	Employee Full Name	Desired Remedy	Desired Replacement (if applicable)	Able to Come In-Person
Wearer #1
Wearer #2
Wearer #3
Wearer #4
Wearer #5