Infinity Floor - Warranty Claim
This form is required for all freight and manufacturing claims. All fields must be completed and all required documentation uploaded for the claim to be reviewed. Claims submitted without proper photos, carton label information, or proof of purchase will not be processed. Claims must be submitted within ten (10) days of issue discovery.
Claim Type
Please Select
Freight Damage
Manufacturing Defect
Select the primary reason for the claim. Claims submitted under the wrong category may be delayed.
DEALER / DISTRIBUTOR INFORMATION
Company Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Claim Submitted By (Name)
Email
example@example.com
JOB SITE INFORMATION
Consumer Name
Job Site Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Contact Phone
Please enter a valid phone number.
Best Contact Email
example@example.com
Installation Type
Please Select
Residential
Commerical
Builder
Multi-Family
Other
INSTALLER INFORMATION
Installer Company Name
Installer Phone
Please enter a valid phone number.
Installer Information
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Installer Certification Confirmation
Installer followed manufacturer installation guidelines
PRODUCT INFORMATION (REQUIRED FOR ALL CLAIMS)
Product SKU Number
Run / Lot Number
-
Month
-
Day
Year
Date
Collection Name
Quantity Purchased (Total SF)
Claim Quantity (SF Being Claimed)
Purchase Date
-
Month
-
Day
Year
Date
Installation Date
-
Month
-
Day
Year
Date
Date Issue Noticed
-
Month
-
Day
Year
Date
ISSUE DETAILS
Where is the product installed?
Describe the issue with the flooring product
ADDITIONAL SITE INFORMATION
Type of Building / Facility
Please Select
Single Family
Multi Family
Retail
Office
Hospitality
Other
Substrate Type
Please Select
Concrete
Wood
Existing Floor
Other
Underlayment Used
Moisture Testing Method
Please Select
Calcium Chloride
RH Probe
Pin Meter
Not Tested
Moisture Reading / Value
Substrate pH
Maintenance Method(s)
REQUIRED UPLOADS
File Upload
Browse Files
Drag and drop files here
Choose a file
Standing distance, Close up, Room scene with area of concern marked, Carton label, Invoice of purchase
Cancel
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CLAIM FINANCIALS
Product Cost ($)
Labor Cost ($)
Miscellaneous Cost ($)
Total Claim Amount ($)
Proposed Resolution
SUBMISSION & ACKNOWLEDGEMENT
Submitted By Name
Title
Submission Date
-
Month
-
Day
Year
Date
Acknowledgement Checkbox
I confirm all information submitted is accurate and complete. Incomplete claims may be delayed or denied.
Submit
Should be Empty: