Claims Submission

Please submit your claim directly to us via this form. The Avery Dennison Reflective Claims Department will get in touch with you to help resolve your issue.

Account Information


Claim Information


If you have any attachments or images, please respond to the confirmation of claim email after you have clicked Submit. The email will come from


Please only click Submit ONCE. You may experience a slight delay in response.

The information you provide on this Claims Submission page will be used to respond to your inquiries and as further described in our Internet Privacy Policy.

Please be aware that this information (including the original and the subsequent reply) may be transferred to a server located in the U.S. for metrics and storage. If you do not consent to this use of your personal information, please do not use the Claims Submission system.