Save Successful.

You will need the following information in order to return to this claim to check the status or continue entering information. An email including the below claim number will be sent to any email addresses that were provided.

Claim Number:

{{claim.ClaimNumber}}

Primary Contact Last Name:

{{getPrimaryContactLastName()}}

Property Address Zip/Postal Code:

{{claim.PropertyAddress.PostalCode}}

The claim information entered thus far has been saved but the claim has not been submitted. The claim will not be processed until it is submitted. Click the SUBMIT button to submit the claim for processing when you are finished entering the claim information.

Your claim has been submitted for processing. You will be receiving a certification letter via email soon that will need to be electronically signed before claim processing can be continued.

Claim Number: {{claim.ClaimNumber}} Claim Status: {{claim.Status}}

SURFACE FLAKING CLAIM FORM

THE FOLLOWING DOCUMENTS ARE REQUIRED TO BE FILED WITH THIS CLAIM FORM:

Photographic Proof of the Surface Flaking on your Trex Product (minimum of three photographs showing the following; 1. full view of the deck or structure, 2. full view of the area(s) in concern, and 3. a close up of the area(s) in concern);
Proof that you own the property on which the Trex Product in question is located (e.g., copy of deed, copy of tax bill for the current year, copy of recent mortgage bill, copy of recent mortgage payment coupon, or copy of recent utility bill);
Proof of ownership or installation of the Trex Product (e.g., purchase receipt or contractor receipt, if you still have posession of it). Additional forms of proof of installation may include pictures of lot codes on the side of each Trex board, or end tag labels if apparent); and
With respect to Claim Forms for Prior Compensated Claims:
- Proof that you own the property on which the Trex Product in question is located (e.g., copy of deed, copy of tax bill for the current year, copy of recent mortgage bill, copy of recent mortgage payment coupon, or copy of recent utility bill);
- Proof that the Trex Product has been replaced (e.g., purchase receipt or photograph of the current Trex Product);
- Proof of ownership or installation of the Trex Product (e.g., purchase receipt or contractor receipt, if you still have possession of it). Additional forms of proof of installation may include pictures of lot codes on the side of each Trex board, or end tag labels if apparent); and
- A copy of the Trex offer letter identifying the type of relief previously given if you still have possession of it.

I - PRELIMINARY QUESTIONS

Are you currently experiencing Surface Flaking on your Trex Product?

Yes No

II - CLAIMANT INFORMATION

1. Name of Claimant(s):

Last: First: MI: Email Address:

Home Phone:

Work Phone:

Cell Phone:

Preferred Method of Contact: (add additional claimant)

2. Claimant's Mailing Address:

Street Address:

City: State / Province: Zip / Postal Code:

Country:

3. Property Address:

Copy mailing address:

Street Address:

City: State / Province: Zip / Postal Code:

Country:

4. Proof of Property Ownership:

Who are the legal owner(s) of the property where the deck is located?

Last: First: MI: (add additional legal owner)

You must include documentation proving that you own the property in question such as a copy of the local appraisal assessment, mortgage statement, or deed record showing the name of the owner of the property in question.

If you will not be attaching proof that you own the property in question, please explain why:

III - TREX INFORMATION

For purposes of this settlement, "Trex Product" is defined as Trex decking and railing products manufactured by Trex at the Fernley, Nevada plant between January 1, 2002 and December 31, 2007. You must provide the following proof in order to participate in the settlement.

5. Product Information:

Type of Trex Product Purchased: Color of Trex Product Purchased:

6. Receipt and Year of Installation:

With this Claim Form, send a photocopy of your itemized sales receipt for the Trex Product that was purchased and note below the installation year.

Installation Year:

If you have not attached a copy of your receipt(s), explain why you have not done so and state whether you have a copy of your receipt(s).

If you have not attached a copy of your receipt(s), but you have other evidence establishing the date on which you purchased your Trex Product, please attach a copy of that other evidence with your Claim Form.

7. Proof of Surface Flaking:

Attach photograph(s) clearly showing that your deck has Surface Flaking.

8. Surface Flaking Area:

Please estimate what percentage of the boards on your deck show any amount of Surface Flaking and, if possible, provide square footage of the area where any boards show any amount of Surface Flaking.

Percentage of Deck: Square Footage:

9. Deck Size:

Please provide square footage of your deck. Please also describe whether your deck includes Trex railing, facing, etc., and, if so, the linear footage of it.

Square footage, including stairs, etc.:

Linear footage of any railings, facings, etc.:

Are any other non-Trex materials incorparated into the deck (i.e. pine, cedar, non-Trex composite decking, etc.)? If so, please describe the other materials and the manner in which they are incorporated into the deck.

IV - PRIOR CLAIM INFORMATION

Have you ever made a warranty claim to Trex for Surface Flaking of your Trex Product? Yes No

If Yes Above: Trex Claim Number (if you possess it):

Please include any offer letter from Trex identifying the type of relief previously given if you still have possession of it.

Have you received any relief, in any form (replacement boards, cash, etc.), from Trex relating to Surface Flaking of your Trex Product? Yes No

If yes, please state the type of relief and value of relief received if known.

V - PROPERTY INSPECTION

Property Inspection: You are not required to be present at the inspection. By signing this Claim Form you agree that an inspector may: enter your property and inspect your Trex Product.

Please note: The inspector is not allowed to discuss the results of your claim or any other aspect of the settlement with you at the time of inspection. The findings will be mailed to you by Trex.

Do you wish to be present for the inspection? Yes No

If you check yes, the inspector will contact you to set up an appointment. If you set an appointment with the inspector to be present at the time of the inspection, and you are not present when the inspector arrives, the inspector will proceed with the inspection in your absence.

Please indicate the best time to contact you:

AM PM

Please indicate if there are dogs, locked gates or other obstructions on the property that will prevent or affect access for the inspector.

Dogs?

Yes No

Locked Gates?

Yes No

What obstructions, if any, exist on the property?

VI - CERTIFICATION AND INDEMNIFICATION

The Undersigned hereby swear(s) under penalty of perjury that all the information attached hereto and provided herein is true and accurate. The Undersigned further acknowledge(s) and agree(s) that any compensation will be applied to the repair or replacement of the Trex Product described herein, and if such compensation is not so applied, the Undersigned agree(s): (i) to notify any subsequent purchaser of the structure or property described herein that this Claim has been made; or (ii) to record this Claim in the appropriate public title records concerning the property or structure. The Undersigned also agree(s) to make all other such disclosures to subsequent purchasers of the property or structure as may be required by local, state or federal law regarding the sale of the structure or property.

The Undersigned also agree(s) that if the foregoing disclosures are not made in a manner required above, the Undersigned will indemnify Trex for the amount of any compensation made to a subsequent purchaser of the structure for the same damage or repair expenses claimed herein.

I hereby authorize Trex and its inspectors to enter my property and inspect my deck as part of its investigation of this claim. I also agree to cooperate with Trex in the investigation of this claim.

VII - ATTACHMENTS

Attachment upload is limited to {{maxUploadSizePerSaveMB}}mb per Save attempt. If you have more than {{maxUploadSizePerSaveMB}}mb of attachments to add, please Save the claim and then add the additional attachments. Repeat as necessary to upload all the attachments you require.

Close Up Photo of Surface Flaking: {{claim.CloseUpPhoto.FileName}} Photo of Entire Deck: {{claim.EntireDeckPhoto.FileName}} Photo of Surface Flaking Area: {{claim.AreaPhoto.FileName}} Proof of Ownership: {{claim.ProofOfOwnershipPhoto.FileName}}

Add Additional Attachments Type of Attachment: Select File(s):

Additional Attachment(s):

	Type	Name
		{{item.FileName}}

Total Size To Upload: {{totalAttachmentSize() | number : 3}}mb

Click the SAVE DRAFT button to save the information that has been entered thus far so that you can come back later to complete the claim and submit. The claim will not be processed until it is submitted. Click the SUBMIT button to submit the claim for processing.