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
Dealer
Purchase Date

MonthDayYear
Date
INVOICE NUMBER*
VIN NUMBER:*
Describe the issue
Claim Picture

Cancelof
Customer Details
Customer Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
FOR WORKSHOP STAFF!

Completed by technition
Staff NAME (carried out repairs)

First NameLast Name
Hours labour to repair:
Notes
Action required by Stark Future:
Signature

Clear
Should be Empty:

Warranty Claim Form