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Flooring Inspection Request Form

*Mandatory fields
Requester Contact Details
First name*
 Last name*
Retailer*
 Contact number
Email*
 
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