SERVICE AND REPAIR FORM – Hubert Jewelry – Fine Diamonds and Gemstones

CUSTOMER INFORMATION

Name(Required)

First Last

Company Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

ITEM INFORMATION

Declared Value of the piece in US Dollars(Required)

Description of the Item (one piece per form only)(Required)

Description of the problem / Service to be performed(Required)

SHIPPING & CONFIRMATION

Shipping Instructions / Shipping Address (if different)

Following the submission of this form, you will promptly receive an email containing a copy of the repair form as an attachment. In the event that you do not receive this email, please do not hesitate to contact us for assistance. To proceed with your repair, carefully review the email you will receive, print, and include this document alongside the item you wish to have repaired, while meticulously adhering to the instructions provided below:

Safeguard your item by packing it securely within a durable paper box. It is always advisable to utilize a double-boxing method for added protection.
When selecting a shipping service, opt for one that offers insurance coverage matching the declared value specified in the repair form.
Ensure your item is shipped with both insurance and tracking capabilities. We recommend utilizing either FEDEX or UPS overnight services, or alternatively, USPS Registered and Insured Service.
For security and discretion, it is imperative to avoid any wording on the package labeling that may inadvertently allude to the presence of valuable goods. Refrain from using sensitive terms such as "jewelry," "gold," "gem," "diamond," etc., anywhere outside of the package.
Dispatch your item to the following address, along with a copy of the form received via email:

HUBERT INC.
606 S OLIVE ST STE 1110
LOS ANGELES, CA 90014

By meticulously following these instructions, you will ensure the safe and efficient handling of your item for repair.

Date(Required)

Consent(Required)

By signing below, the customer agrees that the approximate value and description of the item listed in this repair form are correct to the best of his or her knowledge. The customer also agrees that the item is submitted to HUBERT's office for repair only. HUBERT will not act as an insurer of the item listed in this form. HUBERT will repair or replace any article that is lost, stolen, or damaged due to their negligence, up to the value declared in this form. If no value is listed, it will be assumed to be less than $100.00. The customer will pay for the returned shipping (which will be insured to the amount of the declared value or assumed value), even if the estimate is not approved. HUBERT Inc. will not be responsible for any items left for over 90 days. By shipping the item the customer accepts Hubert's terms and conditions.

I agree to these terms and conditions

Signature(Required)

Comments

This field is for validation purposes and should be left unchanged.

SERVICE / REPAIR FORM

CUSTOMER INFORMATION

ITEM INFORMATION

SHIPPING & CONFIRMATION