Warranty Preliminary Review Form

Submitted Date:

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Dealer Name / Location:*

Dealer NameLocation

Dealer Contact Name:*

First NameLast Name

Dealer Contact Email:*

example@example.com

Dealer Phone Number:*

Area CodePhone Number

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Customer Contact Name:*

First NameLast Name

Customer Contact Phone Number:

Area CodePhone Number

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Please select product line*

Morbark Industrial Machine Model Number *

Denis Cimaf Machine Model Number *

Morbark Tree Care Machine Model Number *

Rayco Machine Model Number *

Boxer Machine Model Number *

Other Machine Model Number:*

Timber Wolf Machine Model Number:*

Machine Serial Number:*

Machine In-Service Date:

Machine Hours:*

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Please Select Assembly Group*

By holding down CTRL Button you can select multiple assembly groups.

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Fabrication Component *

Other Fabrication Component *

Fabrication Failed Part Number:*

Fabrication Part Failure Date:*

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Fabrication Complaint Description:*

Fabrication Root Cause Description:*

Fabrication Correction Description:*

Attach Fabrication Files:

Browse Files

Drag and Drop

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Fabrication Requested Labor Hours Total:

Fabrication Requested Parts Total:

          Dealers Not Required To Complete Below This Line

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Fabrication Approved Labor Hours Total:

Fabrication Approved Parts Total:

Fabrication Parts Return:

Fabrication Approved Date:

Fabrication Section Approved By:

Fabrication

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Powertrain Component*

Other Powertrain Component*

Powertrain Failed Part Number:*

Powertrain Part Failure Date:*

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Powertrain Complaint Description:*

Powertrain Root Cause Description:*

Powertrain Correction Description:*

Attach Powertrain Files:

Browse Files

Drag and Drop

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Powertrain Requested Labor Hours Total:

Powertrain Requested Parts Total:

          Dealers Not Required To Complete Below This Line

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Powertrain Approved Labor Hours:

Powertrain Approved Parts Total:

Powertrain Parts Return:

Powertrain Approved Date:

Powertrain Section Approved By:

PowerTrain

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Electrical Component*

Other Electrical Component*

Electrical Failed Part Number:*

Electrical Part Failure Date:*

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Electrical Complaint Description:*

Electrical Root Cause Description:*

Electrical Correction Description:*

Attach Electrical Files:

Browse Files

Drag and Drop

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Electrical Requested Labor Hours Total:

Electrical Requested Parts Total:

          Dealers Not Required To Complete Below This Line

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Electrical Approved Labor Hours Total:

Electrical Approved Parts Total:

Electrical Parts Return:

Electrical Approved Date:

Electrical Section Approved By:

Electrical

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Engine Manufacturerer :*

Engine Serial Number:*

Engine Component*

41 Air Intake System*

42 Cooling System*

43 Exhaust System*

Other Engine Component*

44 Fuel System*

46 Electric Propulsion System*

48 Powertrain-Electric, Hybrid*

Engine Failed Part Number:*

Engine Part Failure Date:*

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Engine Complaint Description:*

Engine Root Cause Description:*

Engine Correction Description:*

Attach Engine Files:

Browse Files

Drag and Drop

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Engine Requested Labor Hours Total:

Engine Requested Parts Total:

          Dealers Not Required To Complete Below This Line

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Engine Approved Labor Hours Total:

Engine Approved Parts Total:

Engine Parts Return:

Engine Approved Date:

Engine Section Approved By:

Engine

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Paint Component *

Other Paint Component *

Paint Failure Date:*

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Paint Complaint Description:*

Paint Root Cause Description:*

Paint Correction Description:*

Attach Paint Files:

Browse Files

Drag and Drop

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Paint Requested Labor Hours Total:

Paint Requested Parts Total:

          Dealers Not Required To Complete Below This Line

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Paint Approved Labor Hours Total:

Paint Approved Parts Total:

Paint Approved Date:

Paint Section Approved By:

Paint

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Hydraulic Component *

Other Hydraulic Component*

Hydraulic Part number that caused the failure:*

Hydraulic Part Failure Date:*

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Hydraulic Complaint Description:*

Hydraulic Root Cause Description:*

Hydraulic Correction Description:*

Attach Hydraulic Complaint Files:

Browse Files

Drag and Drop

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Hydraulic Requested Labor Hours Total:

Hydraulic Requested Parts Total:

          Dealers Not Required To Complete Below This Line

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Hydraulic Approved Labor Hours Total:

Hydraulic Approved Parts Total:

Hydraulic Parts Return:

Hydraulic Approved Date:

Hydraulic Section Approved By:

Hydraulic

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