Interalia Services LTD

Forms

Materials Information Request

Claim Number
Your Name

In order for us to get the materials for your property, please can you supply us with: The NAME, MAKE and SUPPLIER of the following:

Wall tiles
Sanitaryware
Floor tiles
Paint
Wood flooring
Kitchen unit range
Vinyl flooring
Wallpaper

If the supplier you have chosen is not one of the major builders merchants i.e Travis Perkins / B&Q please supply the name of the company and contacts details so we are easily able to place an order.

Please specify the colour in each area where the works are being carried out to avoid any confusion.

Please be aware all materials used are based on a like for like basis.

To action your authorisation, please submit this form.

PLEASE BE AWARE IF THE INFORMATION IS NOT PROVIDED WE WILL NOT BE ABLE TO START WORKS ON THE ANTICIPATED START DATE AND WILL RETURN THE FORM TO YOU.