test form warranty – Combilift Warranty Department

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Region*

Unique ID

Dealer*

Name of company submitting this claim

Dealer Claim Ref Number*

Dealer Email Address*

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Dealer Username

Combilift Dealer Account Number*

This is your Combilift Customer No. You will see this on the Combilift Invoice. Approved Warranty Claims will be credited to this account. Example ABCD001

Currency

End User / Customer*

Truck Location Address*

Serial Number*

Combilift Truck Serial number

Model*

Truck Model

Hours*

Truck Hrs from dash

Fault Code*

Registration Date*

Breakdown/Failure Date*

Repair Date*

Combilift Parts List

Part No’s Used	Qty	Parts Cost	Parts Freight Cost	Total Parts & Freight Cost	Combilift Invoice No

(Format 9,999.99).To add additional parts please press the + sign at the end, if more than 10 parts are required, please enter these in “Other parts”. If a Part is not listed in the drop-down, please add it manually to the “Other Non-Combilift Part Number section below.

Total of all Combilift Parts & Associated Freight Cost

Labour Hours

Reasonable labour Hrs to resolve the issue (Format 9,999.99)

Labour Hourly Rate*

Total Labour Cost

Travel Hours*

Reasonable Travel time. (Format 9,999.99)

Travel Hourly Rate*

Total Travel Cost

Distance Rate

Travel Distance

Total Distance Cost

Other Non-Combilift Part Number

Non-Combilift Part No Used	Qty	Parts Cost	Parts Freight Cost	Total Parts & Freight Cost	Invoice/Reference

Total Non-Combilift Parts Cost

Attach any relevant files*

Drop files here or

Accepted file types: msg, txt, png, jpeg, jpg, xls, xlsx, doc, docx, pdf, zip, Max. file size: 12 MB.

Claim needs copies of Job Sheets. Other information including photo's and emails relating to this issue will help to reduce processing time.

Brief Detail*

Summary of the initial issue and the work completed to resolve it. Do Not use "See Attached"

Total Claim Value*

This is the Value you wish to Claim. It should be the total of the items listed below.

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66% of Labour Rate submitted

In order to support the processing of your claim please ensure the below is completed*

All Claims to be submitted within 30 Days of alleged failure
Warranty provided on Combilift parts only. If approved Non Combilift parts are used please include a copy of the invoice
Parts are to be held by the Dealer for 90 days from failure date, unless directed otherwise
Attach all Job Sheets/ Service Work Orders and Invoices for all parts
Photos and video are essential
Form must be fully completed, with all numbers using no format 9,999.00

Incomplete claims will cause delay in processing

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Value Declined

Name

This field is for validation purposes and should be left unchanged.

Warranty Claims Form

Warranty Registration Form

Battery Callout Request

Engine Callout Request

Warranty Parts Return Form

Combilift Warranty Global Claims Form

Contact Us

+353 47 80500