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CLAIMS FORM
Client Claim Form
This form to be used for a single claim only
All details must be completed in full for claim to be assessed.
FOB credit value will be given to single items only.
Full suites will not be credited for single item damages.
Claim Date
*
Customer Name
*
Contact Email
*
Retailer Name
Retailer PO Number
Lifestyle Product Code
Lifestyle PI Number
Container ETD
Cover Type
*
Color
*
FOB Item Value $USD
REASON FOR CLAIM (tick all applicable boxes)
*
Frame - collapsed, broken, splintering, misaligned, assembly defect
Foam - collapsed, missing, concealed damage
Cover - Tearing, peeling, dust cover torn or peeling, stitching issue, color issues
Mechanism - broken, not operating correctly, collapsed or bent
Springs - broken, noisy, coming through foam, coming through cover
Aesthetic - dirt, scratches, sagging, marks/ stains
Other
CLAIM REQUEST
*
Credit Note
Replacement Parts
Repair
Other
Other Claim Request
*
Please provide more details as neccessary
*
Image Uploads
All images must be in JPG format and uploaded in the section below
Please ensure that images and faults are displayed clearly
Claims cannot be processed without the requested images
Care Label showing PI number
*
Drop a file here or click to upload
Choose File
Maximum file size: 2.1MB
Front-on view showing complete product
*
Drop a file here or click to upload
Choose File
Maximum file size: 2.1MB
A clear close-up showing fault
*
Drop a file here or click to upload
Choose File
Maximum file size: 2.1MB
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Lifestyle Australia
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188 Collins Street West,
Melbourne VIC 8007
Thomas
+61 421 390 696
Jacob
+61 429 062 922
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Claim Form