Service Request Form

To request service, please fill out the form below. Fully completed forms will help to expedite our response to you and your service. All fields are required.

    Homeowner Contact Information

    First Name:

    Last Name:

    Email Address:Email is confidential and will not be released

    Phone Number:

    Address:

    City:

    State/Province:

    Zip/Postal Code:

    My Pollard products were originally supplied for:

    Builder Name:

    Move-in Date:(YYYY/MM/DD)

    Lot #:

    Pollard Product Needing Service

    Windows

    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #2
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #3
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #4
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #5
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #6
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #7
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #8
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #9
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Additional windows:

    Window #10
    Type of Window

    Color

    Exterior and Interior:

    Sizing

    Visible Glass Measurement
    Width (inches):
    Height (inches):

    Location of Window

    Room and Floor:

    Grills:

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, condensation, moisture between glass panes, operating hardware, sashes hard to lift or crank open, lock latch assembly.

    Doors

    Door Configuration

    Swing Door Hinge as viewed from outside

    Sizing

    Visible Glass Measurement:Width (inches):Height (inches):

    Visible Glass Measurement for Side Lite:Width (inches):Height (inches):

    Location of Door

    Room and Floor

    Grills

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, torn weatherstrip, hardware latch assembly, door not sliding/swinging properly, leak, dented door, moisture between glass panes (seal failure), screen not operating properly, damaged sill, condensation.

    Additional Doors:

    Doors #2
    Door Configuration

    Swing Door Hinge as viewed from outside

    Sizing

    Visible Glass Measurement:Width (inches):Height (inches):

    Visible Glass Measurement for Side Lite:Width (inches):Height (inches):

    Location of Door

    Room and Floor

    Grills

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, torn weatherstrip, hardware latch assembly, door not sliding/swinging properly, leak, dented door, moisture between glass panes (seal failure), screen not operating properly, damaged sill, condensation.

    Additional Doors:

    Doors #3
    Door Configuration

    Swing Door Hinge as viewed from outside

    Sizing

    Visible Glass Measurement:Width (inches):Height (inches):

    Visible Glass Measurement for Side Lite:Width (inches):Height (inches):

    Location of Door

    Room and Floor

    Grills

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, torn weatherstrip, hardware latch assembly, door not sliding/swinging properly, leak, dented door, moisture between glass panes (seal failure), screen not operating properly, damaged sill, condensation.

    Additional Doors:

    Doors #4
    Door Configuration

    Swing Door Hinge as viewed from outside

    Sizing

    Visible Glass Measurement:Width (inches):Height (inches):

    Visible Glass Measurement for Side Lite:Width (inches):Height (inches):

    Location of Door

    Room and Floor

    Grills

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, torn weatherstrip, hardware latch assembly, door not sliding/swinging properly, leak, dented door, moisture between glass panes (seal failure), screen not operating properly, damaged sill, condensation.

    Additional Doors:

    Doors #5
    Door Configuration

    Swing Door Hinge as viewed from outside

    Sizing

    Visible Glass Measurement:Width (inches):Height (inches):

    Visible Glass Measurement for Side Lite:Width (inches):Height (inches):

    Location of Door

    Room and Floor

    Grills

    Reported Issue

    Please write a description of the problem. For example, broken glass or frame, stress crack, torn weatherstrip, hardware latch assembly, door not sliding/swinging properly, leak, dented door, moisture between glass panes (seal failure), screen not operating properly, damaged sill, condensation.

    Please scroll to the top of the section to ensure you completed all applicable fields before submitting.

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