FM186 Customer Warranty or Service Work Authority Request Form
CUSTOMER DETAILS
Name
*
Full Name
Date of Claim
*
-
Day
-
Month
Year
Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Contact Name for Repair
*
Contact Phone
*
Email Address
*
SPA DETAILS
Spa Model
*
eg. Cyclone Monsoon
Spa Serial Number
*
eg. J123456
Date of Delivery
*
-
Day
-
Month
Year
Store Purchased From
*
eg. Just Spas Brisbane
Please attach Proof of Purchase
*
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Choose a file
Please attach Sales Agreement or Invoice
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of
REPORTED FAULT DETAILS
Pick all that are applicable:
*
Heating
Leaking
Jet
Valves
Ozone
Circulation Pump
Boost Pump
Touchpad
Main Control Box
Light
Cabinet
Acrylic Surface
Drain Plug
External Heat Pump
Gas Heat Pump
Others
Is there any error message displaying on your Spa Touchpad screen or External Heat Pump Touchpad screen?
*
Yes
No
If yes, write down the error message
Please describe the issue with your Spa in more detail
*
eg. Spa is not heating and has error code
Please attach photos of where your Spa is located, as well as photos or videos of the fault (if possible)
*
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Drag and drop files here
Choose a file
Pictures and videos will help diagnose issues more accurately and save time in repairs
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of
Is your Spa easily accessible for service?
*
Yes
No
I acknowledge that the spa warranty is covered by Spa Industries Global, however, if the technician advises the fault is non-warranty, I will incur a Service Fee of $165.*
*
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