Warranty Claim Instructions

Shoes for Crews® Warranty Claim Instructions

When a manager at one of your facilities informs you that an employee has had a slip and fall accident while wearing SHOES FOR CREWS®(Europe)Ltd., please do the following:

The facility manager, where the accident occurred, must fill out the SHOES FOR CREWS®(Europe)Ltd. Slip and Fall Accident Report. The form must be completed, signed, notarized and forwarded to the corporate Safety/Risk Manager.

The corporate Safety/Risk Manager will be required to forward the following forms to SHOES FOR CREWS®(Europe)Ltd., within 21 days of the accident date:

The SHOES FOR CREWS®(Europe)Ltd. Slip and Fall Accident Report completed, signed and notarized by the facility manager where the accident occurred
A copy of your company’s internal Worker’s Compensation Claim

Send a copy of the paid Worker’s Compensation Claim to SHOES FOR CREWS(Europe)Ltd., for processing as soon as it is available.

SHOE FOR CREWS®(Europe) Ltd. may reimburse up to a maximum of 3,000 euro, limited to 50% of the respective company’s net year-to-date purchases from SFC during the calendar year in which the accident occurred. Once a copy of the paid Worker’s Compensation Claim has been received, reimbursement will be made for direct medical expenses only. (Please see the Limited Warranty for details.)

Print Accident Report Form and Claim Instructions

Please send the completed forms to:

Shoes for Crews(Europe)Ltd.,

Unit 3A Western Business Park,

Shannon, Co. Clare

Ireland

Note: To qualify for the SHOES FOR CREWS®(Europe)Ltd. Slip and Fall Warranty, all claims for reimbursement must include employee’s name and employee’s ID number to verify their purchase of SHOES FOR CREWS(Europe)Ltd.®.