WARRANTY REPAIR SUBMISSION FORM – TNT Rescue Service

Warranty repair submission form

NOTE: TNT RESCUE RESERVES THE RIGHT TO REQUEST COMPONENTS REPLACED AS WARRANTY TO BE RETURNED TO THE FACTORY.

Thank you for completing this form. Please provide as detailed information as possible. This form is only to be completed for Warranty repairs done by the Dealer or Technician.

Dealer: Name *

Dealer: e-mail *

Dealer: Phone Number *

Department: Name *

Department: Contact Name - Customer *

Department: Address *

Department: City *

Department: State/Province

Department: Country *

Department: Zip/Area Code *

Department: e-mail *

Department: Phone Number *

Item Description / Model Number: *

Serial Number *

Fault description: *

Is the fault intermittent?

Repair performed:

Parts used for repair: Indicate part numbers and quantity

Date customer reported fault:

Date repair completed:

Technician that performed the repair:

1 + 6 = ?Please prove that you are human by solving the equation *