Please note that family members living in the same household must pool their consumer purchases together and submit a single End
Consumer Claim. If you are filing this claim on behalf of a household, please enter the number of family members in your household.
You will be required to provide the number and/or the $ value of your purchases between January 1, 1999
and January 10, 2012.
We require some documentation to prove your purchases. We recognize that, due to the time lag since you made these purchases, you may no
longer have receipts. We will accept as proof of purchase documents which either directly show your purchases or from which your purchases
can be calculated or extrapolated. Some examples are purchase orders, invoices, historical accounting records, records showing the budgets for
Flexible Polyurethane Foam/Foam Products/Carpet Underlay purchases, or other related documents.
Report the total number of Foam Products (other than Carpet Underlay) purchased in Canada for my/our own personal use and not for commercial resale from January 1, 1999 to January 10, 2012.
Sectional Sofas (greater than 3 seats)
Report the total $ value of Carpet Underlay purchased in Canada for personal use and not for commercial resale from
January 1, 1999 to January 10, 2012. The amounts indicated below are before taxes and after rebates.
Maximum file size: 30 mb
Allowed file types: .jpg, .jpeg, .tif, .tiff, .gif, .png, .pdf