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Warranty Claim Report

Before completing this claim form, it is important to review and determine the Ariens/Gravely Warranty Policy Statement(s) to ensure that a warranty claim is appropriate.

To make a warranty claim on for your Ariens or Gravely product please complete the form below.
Claims should be submitted within 30 Days of Repair.

Please be sure to complete all relevant fields or your claim cannot be processed.

 * Compulsory Fields

 

Dealer Account No * Dealer Claim No
    (Optional) Date
Equipment Model No * Equipment Serial No *
Date Purchased * Date Failed *


Owners Name *
 
Street Address * City *
State Postcode *
    Phone


  (if applicable)   (if applicable)
Engine Transmission Model No Engine Transmission Type/Spec
How Used *  Homeowner
 Rental
 Commercial
 Other		 Hours Used *


Unit Purchased From City
Street Address State
    Postcode


Repair Parts Used

Invoice#  * Part No. * Description Qty *. Unit Price Labour Flat Rate Code
All parts used should be retained until claim finalised.


Probable Cause of Failure *


Work Performed *
 
Technicians Name: