Warranty Claim Form

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Current: Claim Details
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Supporting Documents
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Preview
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Complete

Contact Information

Are you a:

Customer

Dealer

Customer's company name:

Dealer's company name:

Your name:

Email:

Address 1:

Address 2:

City/Town

State/Province (if applicable):

Zip/Postal Code

Country

Claim Type

Is your claim for:

Machine Warranty

Parts Warranty

Structural Warranty

Service Bulletin

Machine Information

Model:

Serial Number:

Date in Service:

(A) Description of Failure

Failure Date:

Hour Meter Reading:

(B) Corrective Action Taken

Repair Date:

Parts Information

Problem Part Number:

Problem Part (mfg) Serial Number:

If parts are required to be returned, you will be contacted with an (RGA) number.

Please do not return parts by general mail. Please send all return parts back by UPS or Fed Express ground service to our shipping address:

2009 Roseport Rd.
Elwood, KS 66024

Quantity:

Quantity:
Quantity:

Part Number:

Part Number:
Part Number:

Description:

Description:
Description:

Unit Cost:

Unit Cost:
Unit Cost:

Total Cost:

Total Cost:
Total Cost:

Snorkel Invoice Number:

Snorkel Invoice Number:
Snorkel Invoice Number:

Labor and Travel Expenses

Fill in applicable fields

Total labor hours:

@ $ per hour

Total travel hours:

@ $ per hour

Total cost for freight: (0.00 format)

Total cost for misc: (0.00 format)

Total Cost: $total_cost_

Need Help?

If you have questions relating to warranty, please call our warranty administrators.

Mailing Address:
P.O. Box 1160
St. Joseph, MO, 64502-1160

Shipping Address:
2009 Roseport Rd.
Elwood, KS 66024

T: +1 (800) 255-0317
F: +1 (785) 989-3075

Please do not return parts by general mail. Please send all return parts back by UPS or Fed Express ground service to our shipping address.

Warranty Claim Form

Warranty Policy