Warranty Claim

Customer Information
*Indicates required field.
Full Name*
Company Name
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email Address
Phone
Fax
Trailer Information
Complete 17 Digit VIN Number*
Model Number*
Date of Purchase*
MM slash DD slash YYYY
Manufacture Date*
Date of Claim*
MM slash DD slash YYYY
Describe the issue with your trailer (if repairs completed)
Dealership Information
Dealership Name*
Dealer representative name*
First Last
Contact email of the representative*
Phone Number
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Repair Shop Information
Dealership Name*
Phone Number
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Repair Labor Cost
Repair Parts Cost
Total Repair Estimate
Photos to Support Claim*
Drop files here or
Max. file size: 100 MB.
Please upload photos of the damage on your trailer.
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Customer Information