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Warranty Authorisation

It is highly recommended that the Warranty Repair Authority (Assessing a Warranty) document be read prior to completing and submitting this form.

This form should be completed and submitted only after the technician has completed a full and proper investigation involving the failure of a part or assembly considered to have directly contributed to the failure or consequential loss of performance of product identified in section A.

* Compulsory Fields

Dealer Name *

Contact Number *

Email *

Dealer Account No *

Date of Request*

Dealer Contact*

Equipment Model No *

Equipment Serial No *

Hour Meter *

Hrs

Date Purchased *

A.Product Prime Use *

Homeowner
Commercial
Other
(Please Describe)

Service History

Yes No

Description of Fault

NB. electrical components require indication of a continuity

Yes No

Ohm Test: Measured Ohms

B.Identified cause of fault that indicates a warranty repair should be considered. *

Parts that are required to be replaced directly due to the failure of the component or assembly. *

Part number	Description	Qty

References to Flat rate Manual:

Assess labour time for claim:

.Hrs

Parts Cost:$

Technician's Name: