About Us  |  Contact Us

Dealer Portal

Installed Claim Form

Please fill out the installed claim form below.

This field is for validation purposes and should be left unchanged.

Claim Form Confirmation

A copy of this finished form will be sent to the following emails for your records.

CUSTOMER INFORMATION

MM slash DD slash YYYY

CONSUMER INFORMATION

Drop files here or
Max. file size: 20 MB, Max. files: 10.

    PRODUCT/CLAIM INFORMATION

    MM slash DD slash YYYY
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Acclimation

    INSTALLATION INFORMATION

    Installed by
    Subfloor
    Type of Grade
    Installation Method
    Your file has finished uploading when a red "x" appears next to its name. Then your claim will be ready to submit.
    Drop files here or
    Max. file size: 20 MB, Max. files: 10.