Make a claim

Warranty claim report form

To make a claim under the GoldShield Scheme please complete the form below or alternatively download a printable version.

Contact Form

Details of your Park Home

Manufacturer

Manufacturer’s Serial Number

Model and Size

Warranty Certificate Number

Is this a holiday let? Yes No

The Home Owner

Full Name

Address Post Code

Daytime Telephone Number

Email Address

Detailed Description of warranty claim

Please give as much detail as possible in order to help speed up your claim. Attaching photographs of the damage will help. You may attach up to 3 images, but please make sure that each image filesize is no bigger than 1MB.

Photograph 1

Photograph 2

Photograph 3

Date of Claim

Date of Claim

Date that damage was first noticed

Day

Month

Year

Day

Month

Year

Arrangements for manufacturer's representation to gain access

Mailing address for correspondence (if different from access)

Address Post Code