STARK - Warranty Claim Form

Warranty Claim Form
1. Only one claim per submission will be processed.

2. Picture of the claim is mandatory for us to evaluate.

3. It is in our right to disapprove any cliam request that is found incorrect or fraud.
Purchase Information
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Dealer
VIN NUMBER:
Warranty expiry date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Describe the issue
Claim Picture

Cancelof
Customer Details
Customer Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
FOR WORKSHOP STAFF!

Completed by technition ONLY
Staff NAME (carried out repairs)

First NameLast Name
Hours Labour:
Date of repair

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Have Stark verified the issue?
Work Carried out:
Replacement Part order number:
Old serial number: (Powertrains or battery’s)
NEW serial number: (Powertrains or battery’s)
Signature
Should be Empty:

Warranty Claim Form