Beautyrest Adjustable Bed Base Premature Failure Defect Investigation Questionnaire

Form Key

Subject

Scott Hirsch Law Group PLLC is currently investigating Beautyrest adjustable bed bases (including the Beautyrest Black Luxury Base, SmartMotion, and baselogic series) for issues relating to premature mechanical and electrical component failures. Please complete this questionnaire so that we may evaluate your potential claim(s). If you have any questions you may write to info@scotthirschlawgroup.com or call (301) 569-1339.

First & Last Name

Email Address

Phone Number

City & State Of Residence

BeautyRest Base Model You Own

Approximate Purchase Date? (MM/YYYY)

Condition at Purchase

New

Used

What Specific Issue(s) You Encountered?

Did This Failure Occur During Ordinary, Normal Household Use?

Yes

Did you Contacted Beautyrest, Serta Simmons Bedding, or The Retailer for Warranty Support?

Yes

What Was Their Response?

If Applicable

Did You Sustained Any Injury As a Result of This Defect?

Could You Provide an Estimated Amount of out-of-pocket Costs Due to This Issue?

Would You Be Able to Send Us Your Maintenance Records and Documents Related to This Issue? If so, Please Send to info@scotthirschlawgroup.com

Yes

Please Provide Any Other Details Concerning This Issue You Would Like to Add.

Disclaimer: Submitting this form does not create an attorney-client relationship. All submitted information will be kept strictly confidential by Scott Hirsch Law Group PLLC.

Beautyrest Adjustable Bed Base Premature Failure Defect Investigation Questionnaire

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