WARRANTY CLAIM FORM

First Name
Last Name
Email Address
Company
Agent or
Distributor
Agent Distributor
[+] Add a Line Item

To help troubleshoot LED issues, please send close-up photos (if possible) of both the LED Chip and Power Connector. This will help to expedite the process of the warranty claim.

Warranty Claim Diagram
LF Illumination
Sales Order #
Distributor
Purchase Order #
Project Name on
Purchase Order
Date of Purchase
Yes No N/A
Yes No N/A
Comments
⚠ Please press the Submit button only once.
Multiple presses will produce multiple claims.

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