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Claim Request Form | Doors

Please complete the below Claim Request Form if you are experiencing issues with your product. Our Service Team will contact you in 3-5 business days, but if you have questions in the meantime, please contact your Palmer-Donavin Sales Representative or call 800.652.1234.

Dealer Information

This information should notate the Dealer that purchased the product from Palmer-Donavin.

Company Name

First Name

Last Name

Email Address

Mobile Phone

Job Title

Purchase Information

This information should be pulled from the Palmer-Donavin paperwork of the original order.

Original P.O. Number

This will be the O-****** number attached to your order

Door Width

Door Height

Door Style

Door Swing/Handing

Unit Configuration

Description of Claim

Please provide as much information and details of the issue so that it can be reviewed by our Service Team.

Has the Door been installed?

NoYes

Current Door Location

Address

City

State

Zip

Main Point of Contact

This will be the person that Palmer-Donavin communicates with to understand and proceed with the claim.

Main Contact Type

Full Name

Mobile Phone

Email Address

Preferred Channel of Communication

File Upload

Please submit images of the issues you are experiencing with your product.

Customer

Attach a fileYou can upload a maximum of 5 files, each up to 90MB.

Claim Request Form | Doors

​Dealer Information This information should notate the Dealer that purchased the product from Palmer-Donavin.

Purchase Information This information should be pulled from the Palmer-Donavin paperwork of the original order.

Description of Claim Please provide as much information and details of the issue so that it can be reviewed by our Service Team.

Has the Door been installed?

Current Door Location

Main Point of Contact This will be the person that Palmer-Donavin communicates with to understand and proceed with the claim.

File Upload Please submit images of the issues you are experiencing with your product.

You’re over the file size limit×Close

File upload limit reached×Close

Unsupported file formats×Close

Dealer Information

This information should notate the Dealer that purchased the product from Palmer-Donavin.

Purchase Information

This information should be pulled from the Palmer-Donavin paperwork of the original order.

Description of Claim

Please provide as much information and details of the issue so that it can be reviewed by our Service Team.

Main Point of Contact

This will be the person that Palmer-Donavin communicates with to understand and proceed with the claim.

File Upload

Please submit images of the issues you are experiencing with your product.

You’re over the file size limit

File upload limit reached

Unsupported file formats