Warranty Claim Form

    First name*

    Last Name*



    Product Information

    Serial Number* (Located under the seat of your chair)


    Upload photos

    Picture size limit should not exceed 1 MB. Please upload one image of your chair, the original receipt and a close-up of your problem. If you have multiple Issues please outline them above in as much detail as possible. **If you receive an error message when submitting the form, please email the image along with your name and address to service@lifeformchairs.com.**