Implements Warranty Claim

Customer Information

Company Name *

Company Phone *

Email *

Customer Name *

Customer Position *

Customer Address *

City *

Country *

State / Province *

Zip / Postal Code *

DEALER INFORMATION

Dealer Name *

Dealer Address *

State / Province *

Zip / Postal Code *

Dealer Email *

Dealer Sales Representative *

City *

Country *

Dealer Phone *

Implement Information

Implements Serial Number *

Product Number *

Implement Model Number *

In Service Date *

Warranty Claim Details

Date of Occurence *

Description of Warranty Issue *

List K-Tec Parts Replaced or Repaired *

Service Order Number

DISCLAIMER

Warranty Claim WILL NOT be processed without multiple pictures.
Include multiple close ups of repair area. Include wide shots of the repair zone.

Pictures *

Click or drag files to this area to upload.

Choose File

Repair / Cost Incurred Information

Date of Repair

Parts Total

Shipping Cost

Mechanic In-Charge

Labor Rate

Total Cost

USED EQUIPMENT

EQUIPMENT RENTALS

K-Tec Implements Warranty Claim Form