Please fill out the entire form below.  Attaching photo of damages is mandatory.

First Name: Last Name:

Email:

Check the box that applies to you:       

Invoice#:

Explanation of Damage:

Attachment:

All attachments must be file type .jpg, .gif, .png or .pdf and be under 1 megabyte
(If your picture is too large to attach, please resize your image here: http://www.picresize.com)
For multiple images, please resubmit multiple Claim Forms.
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