Bishop Distributing Flooring Claim Form

"*" indicates required fields

RETAIL STORE INFORMATION

Address:

CUSTOMER INFORMATION (If Applicable)

Address:

PRODUCT INFORMATION

CLAIM DETAILS

Has anyone been to the jobsite to review?:

INSTALLATION DETAILS

Is the product installed?:
Were moisture test performed on the product and/or substrate?:

MAINTENENCE INFORMATION

Drop files here or
Max. file size: 128 MB.