Home | Contact Us | Service Request Form

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

Title:

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:

Renovation or Replacement ProjectNew Home Build

[group newBuild]
Builder Name:
Move-in Date:(YYYY/MM/DD)
Lot #:
[/group]

Pollard Product Needing Service

WindowDoor

[group windows]

Windows

Type of Window

Double Hung (Top Pane)Double Hung (Bottom Pane)Double Hung (Both Panes)Single Hung (Top Pane)Single Hung (Bottom Pane)Single Hung (Both Panes)Casement (Operating)Fixed LiteHorizontal Slider (Fixed Pane)Horizontal Slider (Operating Pane)Awning

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

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:

Yes

[group window2]

Window #2

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window3]

Window #3

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window4]

Window #4

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window5]

Window #5

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window6]

Window #6

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window7]

Window #7

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window8]

Window #8

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window9]

Window #9

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional windows:

Yes

[/group]

[group window10]

Window #10

Type of Window

Color

Exterior and Interior:

Sizing

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

Location of Window

Room and Floor:

Grills:

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

[/group]

[group doors]

Doors

Door Configuration

Single Swing DoorDouble Swing DoorPatio Door (Fixed Pane)Patio Door (Operating Pane)4 Lite Sliding Door (Fixed Pane)4 Lite Sliding Door (Operating Pane)

Swing Door Hinge as viewed from outside

Left HingedRight HingedCenter Hinged LeftCenter Hinged Right

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

Clear Glass (No Grill Bars)Glass with Grill Bars

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:

Yes

[group doors2]

Doors #2

Door Configuration

Single Swing DoorDouble Swing DoorPatio Door (Fixed Pane)Patio Door (Operating Pane)4 Lite Sliding Door (Fixed Pane)4 Lite Sliding Door (Operating Pane)

Swing Door Hinge as viewed from outside

Left HingedRight HingedCenter Hinged LeftCenter Hinged Right

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

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional Doors:

Yes

[/group]

[group doors3]

Doors #3

Door Configuration

Single Swing DoorDouble Swing DoorPatio Door (Fixed Pane)Patio Door (Operating Pane)4 Lite Sliding Door (Fixed Pane)4 Lite Sliding Door (Operating Pane)

Swing Door Hinge as viewed from outside

Left HingedRight HingedCenter Hinged LeftCenter Hinged Right

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

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional Doors:

Yes

[/group]

[group doors4]

Doors #4

Door Configuration

Single Swing DoorDouble Swing DoorPatio Door (Fixed Pane)Patio Door (Operating Pane)4 Lite Sliding Door (Fixed Pane)4 Lite Sliding Door (Operating Pane)

Swing Door Hinge as viewed from outside

Left HingedRight HingedCenter Hinged LeftCenter Hinged Right

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

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

Additional Doors:

Yes

[/group]

[group doors5]

Doors #5

Door Configuration

Single Swing DoorDouble Swing DoorPatio Door (Fixed Pane)Patio Door (Operating Pane)4 Lite Sliding Door (Fixed Pane)4 Lite Sliding Door (Operating Pane)

Swing Door Hinge as viewed from outside

Left HingedRight HingedCenter Hinged LeftCenter Hinged Right

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

Clear Glass (No Grill Bars)Glass with Grill Bars

Reported Issue

[/group]

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