Lighting Claim Form

In order to make a claim, kindly submit the following documentation

Copy of proof of purchase
Copy of the electrician’s certificate of compliance for the installation of the Arlec product (if required)
Completely fill the form given below. Provide as much detail as possible to support your warranty claim with us

Customer Name *

Email Address *

Daytime Phone Number

Mobile Number *

Purchased From *

Date Purchased *

Electrician Name

Electrician Contact Number

Address where product is installed

Street Address *

Address Line 2

City *

State / Province / Region *

ZIP / Postal Code *

Country *

Product Information

Product Code *

Number of Faulty Units *

Product Name *

Product Description / Colour

When did the problem start *

Do you have Solar Power

Yes No

Do you have Remote Control

Yes No

Reason for Claim *

Dimmer Model Number

Copy of the electrician's certificate of compliance

JPG, PNG, PDF up to 10MB

BROWSE FOR FILES

Copy of proof of purchase *

JPG, PNG, PDF up to 10MB

BROWSE FOR FILES

Terms

I acknowledge that I have read and understood the terms and conditions of the product warranty and I also acknowledge that if Arlec'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, I will be charged a "call out" fee by Arlec. *