Vehicle Warranty Claim Form

Vehicle Warranty Claim Form
Please fill out the form below in as much detail as possible. Refer to page 5 of your warranty booklet before completing this form to see if the issue is claimable. We will only accept one claim per submission, submitting more than once may delay your claim being processed. Please allow 48 hours for a response. The Aftersales team are available Monday - Friday 9.30am-5pm.

*THIS FORM CAN ONLY BE SUBMITTED BY THE PERSON WHO PURCHASED THE VEHICLE, YOU CAN NOT CLAIM ON SOMEONE ELSE'S BEHALF, AND YOU MUST HAVE REGISTERED YOUR WARRANTY*
Purchase Information
Vehicle Registration*
Purchase Date*

DayMonthYear
Date
Vehicle Make and Model
Exact Mileage*
Please describe the issue in as much detail as possible, including when the issue first started, any lights on the dash, noises, symptoms etc.
Please upload any pictures/ videos to support your claim if relevant.

Cancelof
Warranty Type*
Customer Details
Customer Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- I confirm I have read through the warranty information provided to me, including the terms and conditions on how to make a claim.
- I am aware that page 5 lists everything that the vehicle warranty covers, and anything not listed is not covered.
- I understand that the warranty covers me for up to 3 months or 3,000 miles whatever comes first. If i have excedeed 3,000 miles before the 3 months the warranty is no longer valid. (for vehicles purchased after 18/5/2022)
- I understand that I can use this form to report an issue however, it may not be a claimable issue.
- I understand it may take up to 48 hours to receive a response to this claim form, and not to report the issue again as this may delay the claim further.
- If the vehicle is undrivable and it's an emergency issue to submit this form and then call 01761 569871 (Option 2).
- I understand that if I go ahead and undertake work without authorisation I am liable for the costs.
Should be Empty:

Vehicle Warranty Claim Form

Purchase Information

Customer Details