Today’s Date:

Freight Handling Section (Not required if warranty defect only.)

Bill of Lading No. Date of B/L
Estes Freight Bill No.           

Paperwork notation on signed receipt of furniture

Warranty Defect Section If defects have occurred after delivery and installation, the following information will be required:

Type of facility where furniture is being used

Damage Information Section

Model No.  Upholstery   
Finish No. Items Damaged     

Description of damage

Digital photos?   Yes  No   
Date photos sent via email to corporate 

Resolution requested