claims.furnitureguard.co.uk
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178.238.129.170
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URL:
https://claims.furnitureguard.co.uk/
Submission: On October 04 via automatic, source certstream-suspicious — Scanned from DE
Submission: On October 04 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1">
<div class="gform_body">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_1" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_1" id="input_1_1" type="hidden" class="gform_hidden" aria-invalid="false" value="04/10/2021"></li>
<li id="field_1_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_2">Date Fault Noticed <span id="field_1_2_dmessage" class="sr-only"> -
must be dd/mm/yyyy format</span><span class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_date">
<input aria-describedby="field_1_2_dmessage" name="input_2" id="input_1_2" type="text" value="" class="datepicker medium dmy datepicker_no_icon hasDatepicker">
<span id="input_1_2_date_format" class="screen-reader-text">Date Format: DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_1_2" class="gform_hidden" value="https://claims.furnitureguard.co.uk/app/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_1_11" class="gfield gcldf-field gcldf-field-date gcldf-date-format-dmy gfield_trigger_change gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label"
for="input_1_11">Date of Product Delivery <span id="field_1_11_dmessage" class="sr-only"> - must be dd/mm/yyyy format</span><span class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_date">
<input aria-describedby="field_1_11_dmessage" name="input_11" id="input_1_11" type="text" value="" class="datepicker medium dmy datepicker_no_icon hasDatepicker">
<span id="input_1_11_date_format" class="screen-reader-text">Date Format: DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_1_11" class="gform_hidden" value="https://claims.furnitureguard.co.uk/app/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_1_42" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div class="notice">
<div class="notification-box__content">
<p class="title"><i class="fas fa-info-circle"></i> Attention</p>
<p>As your furniture was purchased before the 27th November 2019 your claim will be handled by Homeserve furniture repairs. Please contact Homeserve via their website
<a href="http://www.homeserverepairs.co.uk/contact" target="_blank">www.homeserverepairs.co.uk/contact</a>, e-mail <a href="mailto:info@homeserverepairs.co.uk">info@homeserverepairs.co.uk</a> or phone 01384 473017 so they can assist you
further.</p>
</div>
</div>
</li>
<li id="field_1_4" class="gfield field_sublabel_below field_description_below gfield_visibility_visible gf-tooltip gf-tooltip-icon"><label class="gfield_label" for="input_1_4">Schedule Number<div class="mbg-tooltip"><span
class="gf-icon mbg-tooltip__trigger"><i class="gftip gftip-question-circle"></i></span><span class="mbg-tooltip__content">This can be found in the leaflet you received when the item was purchased.</span></div></label>
<div class="ginput_container ginput_container_text"><input name="input_4" id="input_1_4" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_1_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible">
<fieldset aria-required="true" class="gfieldset">
<legend class="gfield_label">Customer Name<span class="gfield_required"> * <span class="sr-only"> Required</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_1_3">
<span id="input_1_3_3_container" class="name_first">
<input type="text" name="input_3.3" id="input_1_3_3" value="" aria-label="First name" aria-required="true" aria-invalid="false">
<label for="input_1_3_3">First</label>
</span>
<span id="input_1_3_6_container" class="name_last">
<input type="text" name="input_3.6" id="input_1_3_6" value="" aria-label="Last name" aria-required="true" aria-invalid="false">
<label for="input_1_3_6">Last</label>
</span>
</div>
</fieldset>
</li>
<li id="field_1_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible">
<fieldset aria-required="true" class="gfieldset">
<legend class="gfield_label">Home Address<span class="gfield_required"> * <span class="sr-only"> Required</span></span></legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_1_5">
<span class="ginput_full address_line_1" id="input_1_5_1_container">
<input type="text" name="input_5.1" id="input_1_5_1" value="" aria-required="true">
<label for="input_1_5_1" id="input_1_5_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_1_5_2_container">
<input type="text" name="input_5.2" id="input_1_5_2" value="">
<label for="input_1_5_2" id="input_1_5_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_1_5_3_container">
<input type="text" name="input_5.3" id="input_1_5_3" value="" aria-required="true">
<label for="input_1_5_3" id="input_1_5_3_label">City</label>
</span><span class="ginput_right address_state" id="input_1_5_4_container">
<input type="text" name="input_5.4" id="input_1_5_4" value="" aria-required="true">
<label for="input_1_5_4" id="input_1_5_4_label">Region</label>
</span><span class="ginput_left address_zip" id="input_1_5_5_container">
<input type="text" name="input_5.5" id="input_1_5_5" value="" aria-required="true">
<label for="input_1_5_5" id="input_1_5_5_label">Postcode</label>
</span><input type="hidden" class="gform_hidden" name="input_5.6" id="input_1_5_6" value="">
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
</li>
<li id="field_1_18" class="gfield field_sublabel_below field_description_below gfield_visibility_visible">
<fieldset class="gfieldset">
<legend class="gfield_label">Delivery Address (if different from the above)</legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_1_18">
<span class="ginput_full address_line_1" id="input_1_18_1_container">
<input type="text" name="input_18.1" id="input_1_18_1" value="">
<label for="input_1_18_1" id="input_1_18_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_1_18_2_container">
<input type="text" name="input_18.2" id="input_1_18_2" value="">
<label for="input_1_18_2" id="input_1_18_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_1_18_3_container">
<input type="text" name="input_18.3" id="input_1_18_3" value="">
<label for="input_1_18_3" id="input_1_18_3_label">City</label>
</span><span class="ginput_right address_state" id="input_1_18_4_container">
<input type="text" name="input_18.4" id="input_1_18_4" value="">
<label for="input_1_18_4" id="input_1_18_4_label">Region</label>
</span><span class="ginput_left address_zip" id="input_1_18_5_container">
<input type="text" name="input_18.5" id="input_1_18_5" value="">
<label for="input_1_18_5" id="input_1_18_5_label">Postcode</label>
</span><input type="hidden" class="gform_hidden" name="input_18.6" id="input_1_18_6" value="">
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
</li>
<li id="field_1_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_8">Telephone Number<span class="gfield_required"> * <span
class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_8" id="input_1_8" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_9" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_9">Mobile Number<span class="gfield_required"> * <span class="sr-only">
Required</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_9" id="input_1_9" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_10" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_10">Email Address</label>
<div class="ginput_container ginput_container_email">
<input name="input_10" id="input_1_10" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_1_19" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_19">Product Type<span class="gfield_required"> * <span class="sr-only">
Required</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_19" id="input_1_19" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="Bed">Bed</option>
<option value="Bedside Table">Bedside Table</option>
<option value="Bench/ Stool">Bench/ Stool</option>
<option value="Blanket Box">Blanket Box</option>
<option value="Bookcase">Bookcase</option>
<option value="Breakfast Bar Stool">Breakfast Bar Stool</option>
<option value="Breakfast Bar Table">Breakfast Bar Table</option>
<option value="Chair">Chair</option>
<option value="Chest of Drawers">Chest of Drawers</option>
<option value="Coffee Table">Coffee Table</option>
<option value="Computer Desk">Computer Desk</option>
<option value="Console Table">Console Table</option>
<option value="Cot Bed Mattress">Cot Bed Mattress</option>
<option value="Dining Chair Pad">Dining Chair Pad</option>
<option value="Dining Table">Dining Table</option>
<option value="Display Cabinet">Display Cabinet</option>
<option value="Dresser">Dresser</option>
<option value="Dressing Table">Dressing Table</option>
<option value="Hallway Furniture Storage">Hallway Furniture Storage</option>
<option value="Mattress">Mattress</option>
<option value="Mirror">Mirror</option>
<option value="Nest of Tables">Nest of Tables</option>
<option value="Other">Other</option>
<option value="Side Table">Side Table</option>
<option value="Sideboard">Sideboard</option>
<option value="Sofa">Sofa</option>
<option value="Storage Cabinet">Storage Cabinet</option>
<option value="TV Cabinet">TV Cabinet</option>
<option value="Wardrobe">Wardrobe</option>
</select></div>
</li>
<li id="field_1_14" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_14">Fault Description<span class="gfield_required"> * <span
class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_14" id="input_1_14" class="textarea medium" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_20" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible">
<fieldset aria-required="true" class="gfieldset">
<legend class="gfield_label">Is this accidental damage?<span class="gfield_required"> * <span class="sr-only"> Required</span></span></legend>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_1_20">
<li class="gchoice_1_20_0"><input name="input_20" type="radio" value="Yes" id="choice_1_20_0"><label for="choice_1_20_0" id="label_1_20_0">Yes</label></li>
<li class="gchoice_1_20_1"><input name="input_20" type="radio" value="No" id="choice_1_20_1"><label for="choice_1_20_1" id="label_1_20_1">No</label></li>
</ul>
</div>
</fieldset>
</li>
<li id="field_1_28" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_28">When did the incident happen? <span id="field_1_28_dmessage"
class="sr-only"> - must be dd/mm/yyyy format</span><span class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_date">
<input aria-describedby="field_1_28_dmessage" name="input_28" id="input_1_28" type="text" value="" class="datepicker medium dmy datepicker_no_icon hasDatepicker">
<span id="input_1_28_date_format" class="screen-reader-text">Date Format: DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_1_28" class="gform_hidden" value="https://claims.furnitureguard.co.uk/app/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_1_30" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_30">How did the incident happen?<span
class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_30" id="input_1_30" class="textarea medium" aria-required="true" aria-invalid="false" rows="10" cols="50" disabled=""></textarea></div>
</li>
<li id="field_1_31" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_31">How large is the stain?<span
class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_31" id="input_1_31" type="text" value="" class="medium" aria-required="true" aria-invalid="false" disabled=""></div>
</li>
<li id="field_1_32" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_32">What is the spillage/ stain?<span
class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_32" id="input_1_32" type="text" value="" class="medium" aria-required="true" aria-invalid="false" disabled=""></div>
</li>
<li id="field_1_34" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<fieldset aria-required="true" class="gfieldset">
<legend class="gfield_label">Have you attempted to clean the stain yourself?<span class="gfield_required"> * <span class="sr-only"> Required</span></span></legend>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_1_34">
<li class="gchoice_1_34_0"><input name="input_34" type="radio" value="Yes" id="choice_1_34_0" disabled=""><label for="choice_1_34_0" id="label_1_34_0">Yes</label></li>
<li class="gchoice_1_34_1"><input name="input_34" type="radio" value="No" id="choice_1_34_1" disabled=""><label for="choice_1_34_1" id="label_1_34_1">No</label></li>
</ul>
</div>
</fieldset>
</li>
<li id="field_1_35" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_35">What did you use?<span
class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_35" id="input_1_35" type="text" value="" class="medium" aria-required="true" aria-invalid="false" disabled=""></div>
</li>
<li id="field_1_36" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<fieldset aria-required="true" class="gfieldset">
<legend class="gfield_label">Is a mattress protector used on the mattress?<span class="gfield_required"> * <span class="sr-only"> Required</span></span></legend>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_1_36">
<li class="gchoice_1_36_0"><input name="input_36" type="radio" value="Yes" id="choice_1_36_0" disabled=""><label for="choice_1_36_0" id="label_1_36_0">Yes</label></li>
<li class="gchoice_1_36_1"><input name="input_36" type="radio" value="No" checked="checked" id="choice_1_36_1" disabled=""><label for="choice_1_36_1" id="label_1_36_1">No</label></li>
</ul>
</div>
</fieldset>
</li>
<li id="field_1_15" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_15">How did the accident happen?<span class="gfield_required"> * <span
class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_15" id="input_1_15" class="textarea medium" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_39" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_39">Have you made any attempts to resolve the
issue? If so, what?<span class="gfield_required"> * <span class="sr-only"> Required</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_39" id="input_1_39" class="textarea medium" aria-required="true" aria-invalid="false" rows="10" cols="50" disabled=""></textarea></div>
</li>
<li id="field_1_21" class="gfield field_sublabel_below field_description_above gfield_visibility_visible"><label class="gfield_label">Attach Images</label>
<div class="ginput_container ginput_container_fileupload">
<div id="gform_multifile_upload_1_21"
data-settings="{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_1_21","container":"gform_multifile_upload_1_21","drop_element":"gform_drag_drop_area_1_21","filelist":"gform_preview_1_21","unique_names":true,"file_data_name":"file","url":"https:\/\/claims.furnitureguard.co.uk\/wp\/?gf_page=51a70fdc89b2118","flash_swf_url":"https:\/\/claims.furnitureguard.co.uk\/wp\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/claims.furnitureguard.co.uk\/wp\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"jpg,gif,png,pdf"}],"max_file_size":"3145728b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":1,"field_id":21},"gf_vars":{"max_files":"6","message_id":"gform_multifile_messages_1_21","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}"
class="gform_fileupload_multifile" style="position: relative;">
<div id="gform_drag_drop_area_1_21" class="gform_drop_area" style="position: relative;">
<span class="gform_drop_instructions">Drop files here or </span>
<input id="gform_browse_button_1_21" type="button" value="Select files" class="button gform_button_select_files" aria-describedby="field_1_21_fmessage extensions_message_1_21" style="position: relative; z-index: 1;">
</div>
<div id="html5_1fh5teg981qf4fe31kr8eiur0b3_container" class="moxie-shim moxie-shim-html5" style="position: absolute; top: 60px; left: 530px; width: 235px; height: 60px; overflow: hidden; z-index: 0;"><input
id="html5_1fh5teg981qf4fe31kr8eiur0b3" type="file" style="font-size: 999px; opacity: 0; position: absolute; top: 0px; left: 0px; width: 100%; height: 100%;" multiple=""
accept="image/jpeg,.jpg,image/gif,.gif,image/png,.png,application/pdf,.pdf"></div>
</div><span id="extensions_message_1_21" class="screen-reader-text">Accepted file types: jpg, gif, png, pdf.</span>
<div class="validation_message">
<ul id="gform_multifile_messages_1_21">
</ul>
</div>
</div>
<div id="gform_preview_1_21"></div><span id="field_1_21_fmessage" class="sr-only">Maximum file size - 3 mega bytes. </span>
</li>
<li id="field_1_23" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible">
<h2 class="gsection_title">Declaration</h2>
</li>
<li id="field_1_24" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<p>Please check all your answers carefully before submitting your claim.</p>
</li>
<li id="field_1_25" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible">
<fieldset class="gfieldset">
<legend class="gfield_label">Declaration</legend>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_1_25">
<li class="gchoice_1_25_1">
<input name="input_25.1" type="checkbox" value="I hereby certify that all the information given in this form is truthful, accurate and complete." id="choice_1_25_1">
<label for="choice_1_25_1" id="label_1_25_1">I hereby certify that all the information given in this form is truthful, accurate and complete.</label>
</li>
</ul>
</div>
</fieldset>
</li>
<li id="field_1_26" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_26">Dated <span id="field_1_26_dmessage" class="sr-only"> - must be dd/mm/yyyy
format</span></label>
<div class="ginput_container ginput_container_date">
<input aria-describedby="field_1_26_dmessage" name="input_26" id="input_1_26" type="text" value="04/10/2021" class="datepicker medium dmy datepicker_no_icon hasDatepicker">
<span id="input_1_26_date_format" class="screen-reader-text">Date Format: DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_1_26" class="gform_hidden" value="https://claims.furnitureguard.co.uk/app/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_1_27" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<p><strong>Please be aware that a fraudulent or exaggerated claim may result in a complete loss of any entitlement under the policy.</strong></p>
<p>Please note; Our privacy policy can be found here.</p>
</li>
<li id="field_1_40" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible"><label class="gfield_label" for="input_1_40">CAPTCHA</label>
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Text Content
FURNITURE GUARD HOW TO MAKE A CLAIM Making an insurance claim is never an easy task and can be a very stressful time, but here at Oak Furnitureland we want to make the process as pain-free as possible. Just fill in the form below and we’ll be in touch shortly with information on what happens next. * denotes a mandatory field * * Date Fault Noticed - must be dd/mm/yyyy format * Required Date Format: DD slash MM slash YYYY * Date of Product Delivery - must be dd/mm/yyyy format * Required Date Format: DD slash MM slash YYYY * Attention As your furniture was purchased before the 27th November 2019 your claim will be handled by Homeserve furniture repairs. Please contact Homeserve via their website www.homeserverepairs.co.uk/contact, e-mail info@homeserverepairs.co.uk or phone 01384 473017 so they can assist you further. * Schedule Number This can be found in the leaflet you received when the item was purchased. * Customer Name * Required First Last * Home Address * Required Street Address Address Line 2 City Region Postcode * Delivery Address (if different from the above) Street Address Address Line 2 City Region Postcode * Telephone Number * Required * Mobile Number * Required * Email Address * Product Type * Required BedBedside TableBench/ StoolBlanket BoxBookcaseBreakfast Bar StoolBreakfast Bar TableChairChest of DrawersCoffee TableComputer DeskConsole TableCot Bed MattressDining Chair PadDining TableDisplay CabinetDresserDressing TableHallway Furniture StorageMattressMirrorNest of TablesOtherSide TableSideboardSofaStorage CabinetTV CabinetWardrobe * Fault Description * Required * Is this accidental damage? * Required * Yes * No * When did the incident happen? - must be dd/mm/yyyy format * Required Date Format: DD slash MM slash YYYY * How did the incident happen? * Required * How large is the stain? * Required * What is the spillage/ stain? * Required * Have you attempted to clean the stain yourself? * Required * Yes * No * What did you use? * Required * Is a mattress protector used on the mattress? * Required * Yes * No * How did the accident happen? * Required * Have you made any attempts to resolve the issue? If so, what? * Required * Attach Images Drop files here or Accepted file types: jpg, gif, png, pdf. Maximum file size - 3 mega bytes. * DECLARATION * Please check all your answers carefully before submitting your claim. * Declaration * I hereby certify that all the information given in this form is truthful, accurate and complete. * Dated - must be dd/mm/yyyy format Date Format: DD slash MM slash YYYY * Please be aware that a fraudulent or exaggerated claim may result in a complete loss of any entitlement under the policy. Please note; Our privacy policy can be found here. * CAPTCHA * Email This field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Copyright © 2019–2021 Oak Furnitureland. All rights reserved. Company reg. 12645185. Oak Furnitureland Group Ltd, Unit 10D, Viscount Way, South Marston Industrial Estate, Swindon. SN3 4TN