Classic Home - Claim Form

This claim form will allow you to submit a claim for up to five products.

Photographs may be supplied using the file upload at the bottom of this form. Supplying photograhs of the issue will allow your claims specialist to assess your claim and provide solutions in the fastest manner possible.

Your Claims Specialist will reach out to you should any additional information be needed to properly assess your claim.

Claim Contact Information

Account Name *

Contact Name *

Preferred Email Address for Claims Communication *

Confirm Preferred Email Address for Claims Communication *

Preferred Phone Number for Claim Communication *

Claim Details

Date Item Received * +

Invoice / PO / Sales Order Number *

Where it the item currently located? *

Nature of Claim *

Proposed Solution *

Item 1 *

Quantity *

Item Description / Name *

Item 2

Quantity

Item Description / Name

Item 3

Quantity

Item Description / Name

Item 4

Quantity

Item Description / Name

Item 5

Quantity

Item Description / Name

Image(s) of Item(s)

Image(s) of Defect / Damage

Photograph or Bill of Lading/Delivery Receipt

Photograph(s) of Product Packaging

Enter additional details you would like to include regarding your claim