Claimed Item One

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Description of circumstances when fault arose or was recognised? Please describe* Date when fault was noticed (DD/MM/YYYY)* Please indicate preferred way of compensation, if claim is accepted* Do not wait for the claim to be verified please re-order the product, I agree that it will be invoiced. If my claim is accepted, please issue a Credit Note. If my claim is accepted, please deliver a replacement product. If my claim is accepted, please issue a Credit Note.

Claimed Item Two

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Three

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Four

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Five

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Six

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Seven

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Eight

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Nine

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claimed Item Ten

1. If possible please upload picture of label placed on claimed item

2. Please fill information required in at least one of three blocks below (A, B or C)

A. Please fill information printed on spacer bar inside IGU

I'd like to give details in Section A OX* DATA* ZL* POZ*

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

I'd like to give details in Section B Date of Order (DD/MM/YYY)* Order No* Position on the order Claimed IGU width (mm) Claimed IGU height (mm) IGU structure (e.g. 4-16-4) Please describe

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

I'd like to give details in Section C Invoice issue date (DD/MM/YYYY)* Invoice No* Position on the invoice*

Fault Description

Detailed fault description* Please upload picture of claimed item

Please upload picture of claimed item

Claim Form

Claim Details

Claimed IGUs

Information required to identify claimed item

Claimed Item One

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Two

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Three

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Four

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Five

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Six

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Seven

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Eight

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Nine

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

Claimed Item Ten

A. Please fill information printed on spacer bar inside IGU

B. Please fill data from your order sent to Pilkington IGP (where claimed item is listed)

C. Please fill date from the invoice issued by Pilkington IGP (where claimed item is listed)

Fault Description

GDPR