HEN Distributor Portal

Claim Form · Distributor Portal

Claim a Lead

For a fire department you're already working with. The HEN team will confirm by email once you submit and track it for you in the Distributor Portal.

Sample layout — no real data

* must be filled Optional can be skipped

Distributor info

Who is submitting this claim

Distributor name *

Spell it out exactly as it appears on your HEN agreement or invoices — e.g. “Dinges Fire Company”, not “DFS” or “Dinges”.

Please spell out the full company name, not an abbreviation.

Confirm distributor name *

Re-type it to confirm — pasting is disabled on purpose.

The two entries don't match.

I confirm this is our company's full, official name as registered with HEN.

Submitter's contact *

Name

Title

Phone

Direct manager

Territory managed

Target fire department

The end customer you're claiming

Fire department / organization name *

Address *

Street address

City

State / region

Country

Department type

Contact at the department Optional

Name

Title

Phone

Opportunity details

What they're interested in and where it stands

Product interest *

Select all that apply.

Structural Wildland Titan Stream IQ

Select at least one product.

Current stage *

Demo doneYou've run a demo with them Quote sentA price quote is already out

Please choose the current stage.

Expected timeline Optional

Estimated deal size Optional

Funding source Optional

Claim justification Optional

Show us you're already working this lead

Evidence of engagement & notes

Upload evidence

Demo done → images / video · Quote sent → price-quote file.

Click to upload
Images, video or PDF · up to 25 MB each

Fields marked * are required.

Your submission goes to HEN SalesOps for review. We'll confirm by email and it will appear in your Distributor Portal once recorded in our CRM.

Claim submitted

Thanks — your lead claim is with the HEN SalesOps team. We'll confirm by email and it'll show up in your Distributor Portal once it's recorded in our CRM.

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