Cloud 9 spa claim request

Section administrative

Document completed by:

Cloud 9

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Cloud 9's claim contact information

Information on who is filing the claim and how they can be contacted for further inquiries.

Name of person filing the claim *

Phone (no space) *

Phone extension

Email *

Is the spa at the dealer's or at the consumer's? *

Customer information

To be completed when the spa is at the consumer's

Customer's name

Address

City

State & ZIP Code

Country

Phone (no space)

As a Clearwater distributor (Cloud 9), continue to fill the form and contact Rebecca Vert or her team (1-450-565-5544 ext. 6201, rvert@lumi-o.com) for technical support. Thank you!

Spa Information

Spa model name *

Spa connection

120 volts

240 volts

Spa Serial #

Spa purchase date

Spa delivery date

Copy of customer invoice (proof of purchase)

Maximum file size: 10MB

Claim TAG (consumer's family name)

Nature of the problem

Several issues can be selected.

Bill of lading

Maximum file size: 16.78MB

Bill of lading (default inscription with driver/dealer's signature)

Include pictures clearly depicting the problem (as much as possible). Ideally, 2 pictures.

Maximum file size: 16.78MB

Detailed description of the problem, additional information, or questions.

Did you send replacement parts to the customer?

Yes

No

Replacement parts sent (include part codes and quantities sent)

Repair done?

Yes

No

Is a technician visit to the consumer required?

Yes

No

Technician visits need to be for serious/technical issues and require approval from InnovaSpa.

Reason a tech visit is required

Ex: problem is too technical, pump replacement, spa pack replacement, top side, etc.

Service call or claim request for spas.

Section administrative

Cloud 9's claim contact information

Customer information

Spa Information

Nature of the problem