Mattress Warranty Claim Form

Mattress Warranty Claim Form
Please complete the form below that will provide us with the necessary information to properly assess your claim. In order for your claim to be reviewed, you must complete all required fields and upload the required photos.

Please allow 7-10 days for a response.

Watch this insructional video on how to properly measure your mattress for your warranty claim.
BEFORE YOU BEGIN: Please make sure you are using an up-to-date browser. (Latest Safari, Firefox, Chrome or Internet Explorer)

Please allow 15-30 minutes to complete this form.

NOTE: Tempur-Pedic warranty claims cannot be completed via this form as all claims are handled directly by the manufacturer. Please call Tempur-Pedic at 1-800-821-6621 or email [email protected] and they will assist you with your warranty claim processing.
Customer Information:
Full Name*

First NameLast Name
Becker Furniture Order Number*
E-mail*
[email protected]
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Purchase:*

MonthDayYear
Please upload a copy of your sales reciept*

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General Questions (cont):
Mattress Size:*
Mattress Firmness:*
Law Label & Tag Information:
Please include 2 photos:

** Please see the video at the top of this form if you need assistance locating these tags.

1. The Satin Trade Label: this is sewn onto the top surface or end of the mattress
Satin Trade Label:*

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2. The Law Tag: is the linen label sewn into the tape edge at the opposite end of the mattress.
Law Tag:*

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From the labels - please complete the following information:
Mattress Model Name:*
White Law Tag - Date of Manufacture*
Mattress Pattern #*
Box Spring Pattern #*

Mattress Questions:
Concerns: Indicate the mattress concerns by checking the boxes below and describe or make comments:
Check all that apply*

Quilt Stitching:Tape Edge Un-Sewn:Torn:Dips or Bends around perimeter edge; how many areas?:Coil/Wire out:Lean (sides of the mattress are not straight up & down) measure and indicate amount:Body Impression/Sag (measure - see instructions)Other
Please describe concerns above:
Upload a photo of any defects/concerns:

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Mattress Impression/Depression Measurements:
Refer to the video here for nstruction on how to measure and photograph the measurements of your mattress.
Depth of depression on Right Side:*
in inches
Depth of depression on Left Side:*
in inches
If the mattress is two sided, flip the mattress over and reverse side
Depth of depression on Right Side: (side 2)
in inches
Depth of depression on Left Side: (side 2)
in inches
Attach 3 images showing the measurements of your mattress impression.
Measurement 1*

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Measurement 2*

function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }

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Measurement 3*

function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }

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Box Spring Questions:
Concerns: Indicate the boxspring concerns by checking the boxes below and describe or make comments:
Check all that apply*

N/A: I do not have a box springTape Edge Un-Sewn:Noise:Dips or Bends around perimeter; note number of areas below:Broken or cracked wooden slat, describe any knots in the area of the break below:Other
Please describe concerns above:
Describe any other concerns with your box spring/foundation
Was the box spring purchased at the same time as the mattress?*

YesNo
If No, When was the box spring purchased?

MonthDayYear
Please attach a photo of the box spring(s)*

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Bed Frame Questions:
Do you have a center support leg on your bedframe?*

YesNo
If the bedframe has wooden slats, how many are present?*
What is the width of each wooden slat? (Type "N/A" if none.)*
in inchces
How much space is between each slat? (Type "N/A" if none)*
in inches
Do you have a platform bed?*

YesNo
What type of wood is used and how thick is the platform?
How many slats are under the platform?
How much space is between each slat? (inches)
Please upload a photo of the bed frame without the mattress or box spring*

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Other Questions:
How often is the mattress flipped (if 2 sided)*
How often is the mattress rotated or turned? (if not 2 sided)*
Are the mattress and box spring manufacturered by the same manufacturer?*

YesNo
If No, what are the brands of each of the mattress and box spring?
Mattress Manufacturer:
Box Spring Manufacturer:
Has either the mattress or box spring ever been replaced?*

YesNo
If Yes, which pieces has been replaced?
Date of replacement

MonthDayYear
Reason for replacement
Please leave any additional information or comments that would assist us:

Customer Acknowledgement and Submit
Type your Full Name:*

First NameLast Name
Today's Date*

MonthDayYear
Should be Empty:

Mattress Warranty Claim Form

Customer Information:

General Questions:

General Questions (cont):

Law Label & Tag Information:

Mattress Questions:

Mattress Impression/Depression Measurements:

Box Spring Questions:

Bed Frame Questions:

Other Questions:

Customer Acknowledgement and Submit