Return Material Authorization
Please submit as much detail as possible to increase the chances of verifying your warranty claim.
Submitted By:
First Name
*
Last Name
*
Company Name
Company Address
E-mail
*
Phone
*
Vehicle Information:
End User/Company
Make
VIN#
*
min. last 6 digits
Odometer
Vehicle Type
Suspension Type
In Service Date
*
-
Month
-
Day
Year
Date
Failure Date
*
-
Month
-
Day
Year
Date
Work Order/Claim# of the Repair
Plate/Unit#
Product Information:
Part Name/Description
*
WMI Part#
*
SN#
Details about the Complaint
*
Desired Conclusion (If Eligible)
*
Replacement
Credit
Repair
Submit Photos/Files
Browse Files
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of
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