Jewelry Retail Warranty Claim Document
Customer Information
Name
Phone
Email
Address
Product Information
Date of Purchase
Receipt/Invoice Number
Product Name / Description
Model / Serial Number
Store/Location of Purchase
Warranty Claim Details
Description of Issue
When did the issue first appear?
Has the item been serviced before?
Yes
No
If yes, please provide details
Office Use Only
Date Received
Processed by
Claim Number
Status
Customer Signature / Date
Staff Signature / Date