Warranty

Warranty & Infield Allowance claim form ('W' Form')

To ensure prompt credit for your warranty claim, please take clear photos of the equipment installed and the parts to be claimed under warranty, then complete ALL fields accurately. Please then sign the document, scan and email it along with the photos to the address below. If you cannot scan, please take a clear photo of the signed form and email it.

Name of person completing this form

Customer Name

Business Address

Customer Order Number

End user proof of purchase date

End User name & Address

Product Type

Serial Number

Did you conduct an infield service on this warranty, and would you like to claim the allowance?

Please provide a brief description of the product problem and why, in your opinion, it is a legitimate warranty claim

Email address

Warranty

Warranty & Infield Allowance claim form ('W' Form')

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