Scraper 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 *

Scraper Information

Scraper Serial Number *

Production Number

Scraper Model Number *

In Service Date *

Warranty Claim Details

Date of Occurence *

Description of Warranty Issue *

List K-Tec Parts Replaced or Repaired *

DISCLAIMER

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

Picture *

Picture

Picture

Picture

Repair / Cost Incurred Information

Date of Repair *

Part total *

Labor Hours *

Travel Hours

Mechanic In-Charge *

Parts Invoice Number

Labor Rate *

Freight Costs *

USED EQUIPMENT

EQUIPMENT RENTALS

K-Tec Scraper Warranty Claim Form

Customer Information

DEALER INFORMATION

Scraper Information

Warranty Claim Details

DISCLAIMER

Repair / Cost Incurred Information