Warranty Claim Form Warranty Claim Form Warranty Claim Form Date of Claim* DD slash MM slash YYYY Name of ClaimantFirst Name* Last Name* Telephone Number of Claimant*Email Address of Claimant* Address of InstallationCompany Installed By* Street Address* Address Line 2 City* State / Province / Region* Postcode* Country* Appliance model/description* Serial Number* Date of Installation* DD slash MM slash YYYY Description of Product Defect*In order to make a claim under this warranty, you will need to provide verification of the purchase and installation dates. Please upload copies of relevant documents here. Drop files here or Select files Max. file size: 100 MB, Max. files: 4.