Warranty Claim

To file a warranty claim, please fully complete the form below — all fields are required. Your claim is important to use and will be responded to as quickly as possible.

Warranty Claim

Claimant Information
Company Name*
Country
Contact Name*
Contact Title*
Phone*
Email Address*
Truck Information
Vin Number*
Date in Service*
MM slash DD slash YYYY
Hour Meter Reading*
Warranty Claim Information
Capacity Claim Ref #*
Date Repaired*
MM slash DD slash YYYY
Labor Rate*
Details of Owner Complaint*
What Failed Claim Information
Include description and part number. Parts must be itemized, numbered, and tagged for inspection by factory.
Description Part Cost
Part Cost (Claim) Total: 0.00
Service Work
Please include service work performed and description.
Description Labor Hrs.
Labor Hrs. (Claim) Total: 0.00
Total Claim Cost

Parts Cost (Claim) Total $: 0.00

Labor Hrs. (Claim) Total $: 0.00

Total Claim Cost $: 0.00
Credit Information
Issue*
- Direct Deposit
- Check
Issue Direct Deposit/Check To*
Account Number*
Routing Number*
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Request for Warranty

Description	Part Cost

Description	Labor Hrs.

WARRANTY CLAIM FORM.

Warranty Claim

Claimant Information

Truck Information

Warranty Claim Information

Credit Information