Labor Only Claim Form

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Condition Evaluation

In order for a warranty on a product to be claimed, this information must be filled out entirely. Failure to provide the information will result in a delay of our warranty process. Labor only claims are to be claimed within 30 day of the unit credit issued.

Labor Only Claim

IN ORDER FOR WARRANTY ON A PRODUCT TO BE CLAIMED, THIS INFO MUST BE FILLED OUT ENTIRELY. FAILURE TO PROVIDE THE INFORMATION WILL RESULT IN DELAY OF OUR WARRANTY PROCESS. LABOR ONLY CLAIMS ARE TO BE CLAIMED WITHIN 30 DAY OF THE UNIT CREDIT ISSUED.

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Customer(Required)

Account Number

Contact Name(Required)

Contact Number(Required)

Email(Required)

Enter Email Confirm Email

Defective Part Information

Invoice Number

Model Number

Serial/WO Number(Required)

Failure Date

Detailed parts failure description(Required)

Vehicle Information

Vehicle Make(Required)

Vehicle Model(Required)

Vehicle Year(Required)

VIN(Required)

Labor Information

Customer's Labor Invoice Number

Labor Hours(Required)

Attach Labor Invoice/Quote(Required)

Max. file size: 32 MB.

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