Please fill out this form if you have spoken with one of our claims representatives. Claim Form SubmissionA copy of this finished form will be sent to the following emails for your records.Pacmat Rep Email* Claim Submitter's Email* ABOUT YOUR CLAIMClaim Reference Number* LAMINATE | LUXURY VINYL | WOODTotal # of cartons* Total # of cartons opened* Total # of cartons installed* Moisture reading of wood prior to install* Acclimation* Yes No If yes, how long?* Installed by:* Consumer Contracted Installer Retailer Name of Installer* Phone Number*Please provide a copy of consumer invoice and labor bill.INSTALLER INFORMATIONSub Floor* Ply-wood Concrete OSB Other Grade* Below Grade On Grade Above Grade Method of Installation* Glue Float Staple Nail If other, please specify* Pad Underlayment Used* Adhesive Used* Staple/Nail Size* Cleaning Method & Product Used* Cleaning Frequency* Does this require an inspection? If yes, please call for a quote: 1-800-862-2857* Yes No Should an inspection be required, the dealer will be responsible for the inspection fee in the case there are no manufacturing related issues. What is needed to resolve this issue?* Describe Issue*CAPTCHA Δ *Please allow 24-48 hours for a response. Thank you for your patience.