Customer Service Claim Form

Step 1 of 2

1. CLAIM INFORMATION

Provide as much information as possible. You will also have the opportunity to attach images, videos, or files in section 3.

2. PRODUCT INFORMATION

Please provide the following information, so we can reach you with questions, claim status updates, and resolutions. (If any information is unavailable, please type "unknown" in the field.)
The customer purchase order used to purchase the item(s) in question.
Serial number on the item(s) in question.
The model number or part number for the item(s) in question.
The Corken Distributor handling the claim.

3. FILE UPLOAD

Upload up to five images, documentation, or other information that provides further detail about the claim.
Click or drag files to this area to upload. You can upload up to 5 files.

4. PRIMARY CONTACT INFORMATION

Street Address
Please use the email address associated with your original purchase