SHOES FOR CREWS Warranty Claim Instructions

When Participating Company's employee has had a slip and fall accident while wearing Shoes For Crews® footwear purchased through a corporate shoe purchasing program, please do the following:

• The facility manager where the accident occurred or Participating Company's claims administrator must fill out the Shoes For Crews Slip and Fall Accident Report. The form must be completed, signed and forwarded to Participating Company's corporate Safety/Risk Manager or the person in Participating Company responsible for safety and risk management.

• Participating Company's safety and risk management representative must forward the following documents to Shoes For Crews, within sixty (60) days of the accident date:

  • The completed Shoes For Crews Slip and Fall Accident Report.

  • A copy of Participating Company's internal Worker's Compensation Claim Form.

• Send documentation of the payment of direct medical expenses related to the slip and fall accident to Shoes For Crews for processing as soon as it is available.

• The maximum reimbursement for an individual claim is up to $5,000, and the annual maximum reimbursement for all individual claims combined is limited to 20% of Participating Company's purchases from SFC during the 12 month period preceding the month in which the accident occurred.

Note: To qualify for the Shoes For Crews Slip and Fall Limited Warranty, all claims for reimbursement must include the employee's name and employee ID number to verify the purchase of Shoes For Crews® footwear.

Not responsible for any typographical errors. The terms of this Limited Warranty are subject to change.