Warranty Claim Form

Customer Information

Your Name(Required)

First Last

Your Address(Required)

Street Address City State ZIP Code

Your Email Address(Required)

Your Phone(Required)

Dealer Information

Dealer(Required)

Dealership Name Dealership Contact

Dealer Address(Required)

Street Address City State ZIP Code

Dealer Email(Required)

Dealer Phone(Required)

Trailer Information

Model Number(Required)

VIN(Required)

Date of Purchase

Was warranty registered?(Required)

Yes

Unsure

Details

Please describe, in detail, the trailer issue(s) including any mitigating factors.(Required)

If issue has been diagnosed, please list any parts needed.

PLEASE RETURN PARTS IF REQUESTED - Clean and tag parts for return. Include a copy of parts return form. If requested parts are not returned, credit will not be issued.

Please include a copy of the shop work order, pictures, or any applicable information.

Drop files here or

Max. file size: 100 MB.

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