ALLSEATING WARRANTY CLAIM #

  Warranty Claim
  In order to process your warranty claim, Allseating requires some information about your chair.
  Please refer to the tag on the bottom of your seat for its model information.
  Please make sure all inputs with a red border have data.		 Date: 2024-05-02 10:41 AM  
  If you have multiple chair models, please enter the same information for each model type.
  Are you updating an existing claim ?
  Claim #:  
  Email Address:  
 
  TELL US ABOUT YOURSELF:
  Date: 2024-05-02 10:41 AM
  Full Name:
  Email Address:
  Email Address Confirmation:
  Phone Number:
  Company Name:
  CHAIR INFORMATION:
  To help us resolve your problem in a quick and efficient manner, please look under your chair for the Allseating tag.
Sample Tag
  * Important - Click UPDATE once line is entered
    ORDER # OR PO #  MODEL DESCRIPTION  AREA AFFECTED  QTY ORDERED  QTY AFFECTED
  
  DESCRIBE THE PROBLEM:
  Please indicate the quantity of problematic parts and describe the problem in detail in the notes section below.
  
  Files larger than 30 megabytes will not be submitted! Please only attach image or PDF files!
  Valid File Types: BMP, TIFF, GIF, PNG, JPEG, JPG, EPS, MP4, MOV, WMV, AVI, PDF
  If attaching multiple files then select one file at a time.
  Once file(s) are chosen the page will refresh and the file name(s) will be in the Attached Files area below.
  Attach Picture or Label:
  Attached Files:
  SERVICE REQUEST DETAILS:
  Freight Damage:
  My chair was purchased:
  My chair is used in a:
  My chair is used for:
  SHIPPING INSTRUCTIONS:
  Company Name: Zip/Postal Code:
  Attention To: Country:
  Address:
   Phone:
  City Special Instructions:

  Comments Log
  Comments:
  
  Comments History: