Service Request Form

Complete when a customer is requesting service on their furniture.

Service Type:

Service Type: Service FCP Montage/Prot 1st Stock Item
Today's Date: Today's Date: / MM / DD YYYY
Customer Name: Customer Name: First Last
Customer Address: Customer Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Sales Invoice Number:
(Can be found in the top right corner of your sales receipt)
Date of Sale: Date of Sale: / MM / DD YYYY
Phone Number/Contact Name:
Phone Number/Contact Name:
Phone Number/Contact Name:
Email:
Item Description:
(Brand, Style #, sofa, loveseat etc)
Describe Problem:
(Please be specific)
Please include the Serial # (ACK # if La-Z-boy) of the product below:
(This can be found on the factory tag, which is typically under the footrest or removeable seat cushion of an upholstered item OR under or behind an occasional item.)
Upload pictures of problem if available:
If unable to upload, please email or text pictures of problem area(s) and item(s) to our service technician at: st@deetshomestore.com OR 402-371-7679
Please be sure to include your first and last name in the message so we can match it up with this form.

If unable to upload, please email or text pictures of problem area(s) and item(s) to our service technician at: st@deetshomestore.com OR 402-371-7679 Please be sure to include your first and last name in the message so we can match it up with this form. Yes, I will send an email or text pictures to the service technician. No, I cannot email or text pictures to the service technician.
Person completing form:
See Also:

See Also: FCP Email Podium Message Stock Item
Extra Notes:
(Any additional information you feel we may need)