Warranty Claim Form Internal Use Supplier Information Supplier Contact Date Merchant Details Branch Phone Merchant Contact Email Customer Details Customer Name * Address * City/Suburb * Home Phone Work Phone Mobile Phone * Customer Email * Preferred Contact Times * Additional Comments * Product/Service Details Product Code and Description * Date of Purchase * Invoice Number * Installing Plumber * Description of Product Issue * Required File Attachments Proof of Purchase * Photo of Product * Add Another Photo Submit Claim
