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Specialty Film Defective Claim
Specialty Film Claim Submission Form
Please submit a separate report for each separate defect from each separate order. Each claim report may require a sample for analysis and defect validation by Madico. Madico will request this from you if required.
Your Claim Reference or NCMR #
Is this a revision of a previous claim?
E-mail address for you or the contact person. Madico will be replying to the e-mail address that you leave here.
Original Purchase Order #
What order is the suspect matrial is from? The Purchase Order number would have been supplied by you as the customer.
Original Madico Order #
Madico order numbers are all six digits. Madico cannot accept single claims for mulitple orders/invoices. Each batch of material from a different order/invoice will require a separate claim submission.
Original Madico Invoice #
Madico invoice numbers are six digits. The invoice number is located in the upper right corner of the invoice. Each batch of material from a different order/invoice will require a separate claim submission.
Is the suspect material in sheets, rolls, or both?
sheets (pre-cut or customer cut)
rolls (partial or full)
Quantity of suspect sheets
Lot Numbers of Suspect Sheets
Total Cumulative Sheeted Length
Enter 1 control number, 1 lot number and length per row. Click the + icon to enter additional control/lot numbers.
If the sheets were pre-cut by Madico, please just type "n/a" for total cumulative sheeted length.
Quantity of suspect rolls
how many individual roll numbers are you claiming?
Lot Numbers of Suspect Rolls
Length of Defective Portion(s)
Enter 1 control number, 1 lot number and the length of the defective portion(s) per row. Click the + icon to enter additional rolls.
Total Linear Quantity of Suspect Roll Material
please designate meters or feet
Do you require an 8D corrective action response?
What is the suspected defect?
Pickoffs / Blocking
Thickness: out of specification
Width: out of specification
Explanation of Deficiency / Additional Notes
Please tell us more about the suspected defect here.
Please attach picture(s) of the affected suspect material.
If you have any additional files that you would like to include (such as a roll list, internal NCMR report, etc...) you can attach the file here.
A copy of this completed form will automatically be e-mailed to you as a confimration of sucessful submission after you click the submit button.
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