Warranty Claim Customer Information A photo of your warranty issue is optional with your submission. However we may, at our discretion, request a photo of your warranty issue to complete your claim. We ask that you do NOT dispose of your product until you have received your replacement.Name* First Name Last Name Ship to Street Address*Ship to Address Line 2PO Boxes, Suites, etc...Ship to City*Country*CanadaUnited StatesShip to State/ ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonShip to Postal / Zip Code*ie: 98032 for US or V2C 4E2 for CanadaPhone*Email* Enter Email Confirm Email Date of Purchase* Date Format: MM slash DD slash YYYY Place of Purchase*Product Description*Reason For Claim*Broken HardwareColor FadingCoating FailureCaught SeamElastic FailureFabric Tear At SeamFabric TearLeaking BladderLeaking ValveMissing HardwarePVC Stained/ ScratchedWebbing FailureZipper FailureClassic Accessories Part Number or Duck Covers Item Number*If you have more items to submit, they each need their own entry form. Classic Accessories Tag Code or Duck Covers Batch Number*See Example Code Below. Please Use Your Actual Code. This can be found underneath the cover sewn into a seam. It also may also be printed on the back of the tag. Proof of Purchase (10MB file size limit)*Accepted file types: jpg, png, gif, pdf, jpeg, heic.Rename your photos to be 50 characters or less. JPG, PNG and GIF file formats ONLYOPTIONAL: Photo of Defect (10MB file size limit)Accepted file types: jpg, png, gif, pdf, jpeg, heic.Rename your photos to be 50 characters or less. JPG, PNG and GIF file formats ONLYAdd comments below: