Flooring Inspection Request Form

*Mandatory fields

Requester Contact Details
First name*
Last name*
Contact number
Inspection and Installation Details

Please note for the inspection request to be processed, a representative of the store must visit the site prior to any inspection by Embelton, including at least two photos of affected areas.

Inspected by*
Date of Inspection*
Installation Address*
Installation Suburb*
Embelton Invoice Number*
Supply and install, or Supply Only?*
Name of Installer
Date of Installation
Home Owner Name
Home Owner Phone Number
Flooring Product and Colour*
Product Square Meterage*
How much expansion was allowed during installation?
Was any internal expansion fitted?*
Was the floor prepped prior to installation?
Please upload up to 10 relevant images below (Images must be no more than 6mb in file size)
Image Upload 1
Image Upload 2
Image Upload 3
Image Upload 4
Image Upload 5
Retailer's summary of the inspection and nature of complaint