Hendrix Industries

WARRANTY CLAIM

Warranty Claim

Date of Claim

Basic Information

Information for the Individual Submitting this Form and Serving as the Primary Contact for This Claim.

First Name

Last Name

Phone Number

Purchase Information

Sales Order Number, Lot Number and Color Name can be found on Sales Order Form.

Registration Date

Distributor Name

Distributor / Dealer Email

Distributor / Dealer Phone

Invoice / Sales Order Number

Color Name

Lot Number

Project Type

Application

Commercial

Residential

Type of Application

Other Application

Ownership Information

Enter information for the owner listed on the warranty.

First Name

Last Name

Property Project Name

Ownership Name

Managing Company Name

Installation Address

Enter the physical address where the slab product was installed.

Enter Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Reason For Your Claim

Please provide a brief description of the reason for your claim.

Enter a brief description

By submitting this form, I confirm the information provided is accurate to the best of my knowledge. I also understand that any false or misleading information provided may invalidate warranty and/or result in legal consequences.

I have read and agree to the Terms and Conditions and Privacy Policy.