IntroCar Warranty Claim Form

Warranty Claim Form
INTERNAL USE ONLY
We are sorry to hear you have experienced a problem with a product we supplied. Please complete and return this claim form as soon as possible for us to process it quickly. Warranty claims cannot be processed unless this form is completed and returned in full. Please review our Guide to Warranty Claims, which will help you answer most questions about the warranty process.
Sales Invoice / Document Number*
located top right of your sales order or invoice
Product Code*
Quantity Failed
Vehicle Chassis / VIN Number*
Vehicle Registration Mark
Date Fitted*

MonthDayYear
Date
Date Removed*

MonthDayYear
Date
Mileage (when fitted)*
Miles/kilometres (please delete as applicable)
Mileage (when removed)*
Miles/kilometres (please delete as applicable)
Please describe the original fault with the vehicle*
Please describe the symptoms experienced with our product or the reason you are returning it*
Was the repair carried out in your own workshop?

YesNo
If the repair was carried out by a third party, please submit invoice copies, together with clear indications of the amount being claimed:

Cancelof
What is the retail hourly labour rate of the workshop performing the remedial work?
Per hour, excluding VAT/sales tax (include currency)
List the cost of any sundries consumed during replacement (oils, coolant, workshop consumables etc):
Please include documentation showing cost of sundries:Please include documentation showing cost of sundries.oad

Cancelof
Customer Signature*

Clear
Customer name (please print).*
Date*

MonthDayYear
INTERNAL USE ONLY
Sales Person
Manager
Comments
Should be Empty:

INTERNAL USE ONLY