**Mattress MUST be in Sanitary Condition or will be refused by factory**
**If the product is not packaged properly it will be returned to the sender**
Inspection Date
*
Inspection Date
*
Inspected by:
*
Representative
Technician
Representative Name
*
Please Select
Alain Boisvert
David Rouse
Devon Dubnyk
Genc Jashari
Gloire Issa
Isobel Stephan
Jeff Funk
John McCartney
Kim Neyedli
Mike James
Mark Lavigne
Olivia Valenti
Paolo Sala
Rob Bentley
Scott Lavigne
Stéphane Boisvert
Stephane Diamond
Steven Pittarelli
Tait Ballantine
Email
*
Alternative Email
Technician Name
First Name
Last Name
Location Information
Dealer Name
*
Consumer's Name
*
Telephone
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Purchase Date
*
Purchase Date
*
Product Information
Product Brand
*
Kingsdown
Bassett
Global
Zedbed
Product Category
*
Mattress
Boxspring
Frame
Product Category
*
Mattress
Box Spring
Frame
Size
*
30x80"
39"
39x80"
54"
54x80"
60"
78"
Other
Model
*
Observations
Stained Ticking
Improper Frame
Periodical Rotated
Picture included
Other
Kingsdown Matching Box Spring
*
No
Yes - Box Spring
Yes - Platform
Yes - Adjustable Base
Insert / Take Picture
Insert / Take Picture
Insert / Take Picture
Impression Depth
*
none
0.5 inch
1 inch
1.5 inch
2 inch
2.5 inch
Other
Defects
Bunching/lumps
Comfort issue
Crushed corner
Depression
Did not expand
Loose stitching
Mislabeled Product
Odor
Plat Brake/Dust Cover
Platform noisy
PT or Other shifting
Sidewall collapsed
Stained Product
Tape Edge Apart
Tick/plastic fused
Torn or rip
Wire protrude/broken
Other Reason
Other Reason Detail
Conclusion
Comfort Issue
*
Yes
No
Normal Wear & Tear
*
Yes
No
Factory Defect
*
Yes
No
Warranty Voided
*
Yes
No
Factory Defect Description
Return Status
*
Return Approved
Return Not Approved
Is the Return a Floor Model?
*
Yes
No
Was Discount taken on Floor Model?
*
Yes
No
Discount %
*
Action to be Taken
*
Repair
Credit
Partial Credit
No Action
Other
Submit Form
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