Express Warranty Claim Form Things to know about the use of this form: This form is for customers who believe their product has a manufacturer defect. Before using this form, you should attempt to contact the retailer you purchased your product from. After you submit this form, please allow 3 business days for our customer service team to respond. 1. Tell us about you... First name: Last name: Street: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Email: Phone: 2. Tell us about your product... Please check the 'law tag' on your mattress for the following information. Manufactured by: What is the model number? What date was it manufactured? What is the warranty code? What is the serial number? 3. Receipt Information... On the receipt there is information we need. Please locate your receipt and answer the following questions: What company did you purchase from? What is the receipt number? What is the model name on the receipt? What is the date of purchase? Did you purchase a set or just a mattress? What size is your mattress? Twin TwinXL Full Queen King California King Condition of Product: What is the condition of the product. In other words is it clean? Does it have any stains on it? Are there any tears or burns? What do you believe is defective? Where exactly is the problem? Tell us as much as you can about the problem you are having with the product.