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Online claims system
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Floor Discrepancy report
Parties information
Report No.
Customer
End-Customer
*
Company
Please fill if you are not end-customer
Street address
*
Telephone
*
E-mail
*
Distributor
Unit/branch
Sales Person
Purchase Reference
E-mail
Floor installer
Floor installer
Street address
Telephone
E-mail
Page
1
of
5
Parties information
General information
Product information
Floor product
Claim
