Lighting Claim Form

In order to make a claim, we require the following documentation to be supplied

Copy of proof of purchase
Copy of the electrician’s certificate of compliance for the installation of the MERCATOR product (if required)
Below form completed in full and with as much detail as you can provide to support your warranty claim with us

Customer Name*
Daytime Phone Number
Mobile Phone Number
Email Address*
Address where product is installed
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Purchased From
Date Purchased
DD slash MM slash YYYY
Electrician Name
Electrician Contact Number
Product Code
Number of Faulty Units
Product Name
Product Description / Colour
Reason for Claim
When did the problem start
Do you have Solar Power
- Yes
- No
Do you have dimmers fitted
- Yes
- No
Dimmer Model Number
Copy of proof of purchase*
Accepted file types: jpg, jpeg, gif, png, pdf, docx, Max. file size: 5 MB.
5MB maximum filesize. Allowed file extensions: jpg, jpeg, gif, png, pdf, docx.
Copy of the electrician’s certificate of compliance*
Accepted file types: jpg, jpeg, gif, png, pdf, docx, Max. file size: 5 MB.
5MB maximum filesize. Allowed file extensions: jpg, jpeg, gif, png, pdf, docx.
Terms*
- I acknowledge that I have read and understood the terms and conditions of the product warranty and I also acknowledge that if Mercator's service agent inspects and reports my light fitting and deems the fault to be caused by incorrect installation and/ or misuse or any of the other exceptions set out in the Limited Warranty Terms and Conditions and I will be charged a "call out" fee by Mercator.
Name
This field is for validation purposes and should be left unchanged.