Warranty
Rev 6/10/2019
Contractor Information:
Company Name ____________________________________________________________
Contractor Name: ___________________________________________________________
Address __________________________________________________________________
City, State, Zip _____________________________________________________________
Daytime telephone: _________________________________________________________
Licensed in (states) _________________________________________________________
License #_________________________________________________________________
Mailing Address (if different from the above):
ADDRESS _________________________________________________________________
CITY, STATE, ZIP ____________________________________________________________
Installation Information:
Job Name _________________________________________________________________
Job Location _______________________________________________________________
Date of Original Installation ___________________________________________________
Date of Replacement Installation _______________________________________________
Part Number being claimed ___________________________________________________
Product Description _________________________________________________________
Total number of units replaced _________________________________________________
Description of Defect: _______________________________________________________
_________________________________________________________________________
__________________________________________________________________
If items are not being returned with this form please complete the following:
Date of Return _____________________________________________________________
Location of return ___________________________________________________________
To begin processing your claim, please send the following to the address below
THIS COMPLETED FORM, YOUR PROOF OF PURCHASE & ITEMS LISTED.
Ship via secure carrier, signature required to:
Webstone a brand of NIBCO
60A Solferino St
Worcester, MA 01604
Attn: Web Warranty Claims
Web Warranty Claim Form
Attn: Reimbursement Facilitator
P: 1-800-225-9529 F: 1-800-336-5133
RMA # ____________________