Damage Claim
We're sorry to hear there was damage during your appointment. Our goal is to be fast and fair. We'll use this information to coordinate with your Cleaning Professional. For your claim to be considered, you must complete this form within 7 days of the incident. 3 photos of the damage must be included along with a description of how the damage occurred, the original cost of the item, item model number and 3 replacement quotes. Once submitted a member of our claims department will follow up with you within 2 to 3 business days.
Name
*
First Name
Last Name
E-mail used to book
*
Appointment Date
*
/
Month
/
Day
Year
Date Picker Icon
Original Cost of Item
Date of Purchase
-
Month
-
Day
Year
Date Picker Icon
Original Reciept
Model Number
*
Description of Damage
*
Damage Photo 1
*
Damage Photo 2
*
Damage Photo 3
*
Replacement Quote 1
*
Replacement Quote 2
*
Replacement Quote 3
*
Submit
*
By requesting that the cleaning company mediates my damage claim with your cleaner, I agree to the resolution process and policy and I agree that the company's decision between me and my cleaner is final and binding.
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform