WARRANTY CLAIM REQUEST FORM
Please submit only one claim at a time.
Claim Request ID:
Warranty Statement - Please read before proceeding claim request
Person completing this form
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I am a Customer
I am a Dealer
Customer Details
Customer Name
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First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
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example@example.com
Phone Number:
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Area Code
Phone Number
How may we help you?
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I need urgent assistance as I am currently travelling &/or have a major structural issue
I am currently travelling and need assistance with a Third-Party supplier issue
I have an issue with my caravan but it's not urgent
I need assistance with a re-occurring issue
I have contacted my Dealer but i havent received a response
Dealer Details
Dealership Name
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Dealer Contact
*
Dealer Contact Email
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example@example.com
How may we help you?
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My customer needs urgent assistance as they currently travelling &/or have a major structural issue
My customer needs assistance with a Third-Party supplier issue that I'm unable to help with
I have a stock / display van that has a defect
Third Party Supplier Communication (Claim will not be processed without evidence attached).
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I contacted Third-Party Supplier via email & attached email correspondence below
I phoned Third-Party Supplier, I have attached name and summary of discussion and actions taken to resolve the issue below
Caravan Details
Customer Name:
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First Name
Last Name
Chassis Number (Located on A-Frame):
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Please upload image of caravan compliance plate:
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Dealer Name (where caravan was purchased from):
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Caravan Purchase / Sale Date:
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-
Day
-
Month
Year
Date
Date of last service or maintenance done on the caravan
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Day
-
Month
Year
Date
Claim Details
Describe the issue in detail:
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When did you first notice the issue & what steps have you taken to ensure there's no further damage:
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Were you travelling when the issue occurred?
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Yes
No
What was the approximate location or address of where the issue occurred ?
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While you were travelling, what speed were you doing?
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If you were offroad, did you deflate your tires to drive to road conditions?
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Yes
No
N/A
Claim Picture/s & Supporting Evidence:
*
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CUSTOMER DECLARATION:
I hereby declare that the information provided in this warranty claim request is true and correct.
To the best of my knowledge and belief, I have complied with all the conditions of the Wonderland RV Warranty Statement (As above).
I regularly perform maintenance and cleaning of my caravan.
I drive in accordance with road conditions, both on-road and off-road.
I agree to take responsibility for damage or loss of personal items in my caravan while repairs are being performed.
I reviewed what I have written above and confirm that it is accurate.
DEALER DECLARATION:
I hereby declare that the information provided in this warranty claim request is true and correct.
To the best of my knowledge and belief, I have complied with all the conditions of the Wonderland RV Warranty Statement.
(As above)
While the caravan has been in our yard, we regularly perform maintenance and cleaning of the caravan.
I reviewed what I have written above and confirm that it is accurate.
AC Value
AC Currency
Signature:
*
Date Signed & Submited:
Submit
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