Online Claim

Distributor Information

Company Name*

Contact Name*

Email*

Phone Number*

Dealer/Contractor Information

Company Name*

Contact Name*

Email*

Phone Number*

Installer Information

Company Name*

Contact Name*

Email*

Phone Number*

Consumer/Owner Information

Company Name*

Contact Name*

Email*

Phone Number*

Brief Description Of Claim:

Claim Description*

History/ Description/ Testing

Report Date*

Distributor Invoice date*

Jobsite Delivery Date*

Installation Date*

Inspection Date*

Date Problem First Noticed*

SAR Floors Item Number*

SAR Floors Run Number*

Square Footage of Total Job

Type of Installation

Number of Rooms

Site Information

Subfloor Information

Subfloor Type*

Subfloor Thickness*

Subfloor Flat to Spec:*

Site Conditions

HVAC Type*

Date Start*

Date End*

Temperature at Inspection*

Relative Humidity at Inspection*

Required Documentation

Documents

To successfully submit this claim, we will need relevant documents (sales receipt, inspection report, etc).

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

Photos

If it is determined that photos are required to proceed with the claim, we will send a request.

Flooring Samples For Inspection

After SAR Floors receives and reviews the completed claim form, they will determine if samples for inspection are necessary to proceed and you will be notified.

Name

This field is for validation purposes and should be left unchanged.

Info

SAR Floors

Distributor Information

Dealer/Contractor Information

Installer Information

Consumer/Owner Information

Brief Description Of Claim:

History/ Description/ Testing

Site Information

Subfloor Information

Site Conditions

Required Documentation

Documents

Photos

Flooring Samples For Inspection

Contact Info

Copyright