GRV - Warranty Claim Form

Warranty Claim Form
TIP: Fill form on mobile phone & Capture Photos or Videos direct to the form.
Email
example@example.com
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SUPPLIER TICKET #
SUPPLIER APPROVAL #
ECLIPSE REPAIR ORDER #

VEHICLE DETAILS
Chassis Number*
Located on draw bar or proof of purchase document.
Chassis Number Photo*

Cancelof
RV / Caravan Make / Brand
RV/Caravan Model
Purchase Date

DayMonthYear
Date
Receipt/ Proof of Purchase

NOTE: Claims without valid proof of purchase will be voided
Cancelof
Do you want Green RV to do your repairs?

YesNoUnsure

FAULT DESCRIPTION & DETAILS

TERMS & CONDITIONS
I understand and agree that:
1. Claims will be void if multiple faults are combined into a single fault description page.
2. Fault Descriptions must be concise & follow the required structure:
  1. Part Description
  2. Part Dimensions (write "N/A" if not measurable)
  3. Fault Description
  4. Photo or Video clearly showing the one fault
3. Claims lacking this structure or sufficient evidence will not be processed and voided.
Acceptance*

I understand & accept the above terms & conditions

FAULT #1 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more Fault Descriptions
FAULT #1 - Part Description / Part Identification*
Example: Dometic Airconditoner
FAULT #1 - Part Dimensions*
Example: Width 500mm x Depth 200mm
FAULT #1 - Fault Description*
Example: Won't turn on, No lights or Air blowing. Be as descriptive as possible.
FAULT #1 - Photo or Video Showing Fault !! REQUIRED !!*

ALWAYS Upload photo of serial number when possible. TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo.
Cancelof
Additional faults to claim? click "NEXT"

FAULT #2 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #2 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #2 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #2 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #2 - Photo or Video Clearly Showing Fault !! REQUIRED !!

ALWAYS Upload photo of serial number when possible. TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #3 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #3 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #3 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #3 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #3 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #4 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #4 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #4 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #4 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #4 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #5 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #5 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #5 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #5 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #5 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #6 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #6 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #6 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #6 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #6 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #7 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #7 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #7 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #7 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #7 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #8 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #8 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #8 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #8 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #8 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #9 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #9 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #9 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #9 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #9 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #10 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #10 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #10 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #10 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #10 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #11 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #11 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #11 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #11 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #11 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #12 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #12 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #12 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #12 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #12 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #13 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #13 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #13 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #13 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #13 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #14 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #14 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #14 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #14 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #14 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #15 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #15 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #15 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #15 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #15 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #16 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #16 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #16 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #16 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #16 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #17 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #17 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #17 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #17 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #17 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #18 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #18 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #18 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #18 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #18 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #19 - DESCRIPTION & DETAILS

One fault per page! Click 'Next' to add more
FAULT #19 - Part Description / Part Identification
Example: Dometic Airconditoner
FAULT #19 - Part Dimensions
Example: Width 500mm x Depth 200mm
FAULT #19 - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #19 - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
Additional faults to claim? click "NEXT"

FAULT #20 or MORE - DESCRIPTION & DETAILS

More than 20 faults? You can enter multiple faults on this page if needed.
FAULT #20 or MORE - Part Description / Part Identification
FAULT #20 or MORE - Part Dimensions
FAULT #20 or MORE - Fault Description
Example: Won't turn on, No lights or Air blowing.
FAULT #20 or MORE - Photo or Video Clearly Showing Fault

TIP: Send PHOTOS for clearly visible faults; Only use VIDEO if unable to demonstrate fault with photo
Cancelof
STATUS
Should be Empty:

Warranty Claim Form

VEHICLE DETAILS

FAULT DESCRIPTION & DETAILS

FAULT #1 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #2 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #3 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #4 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #5 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #6 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #7 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #8 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #9 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #10 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #11 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #12 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #13 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #14 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #15 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #16 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #17 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #18 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #19 - DESCRIPTION & DETAILS

Additional faults to claim? click "NEXT"

FAULT #20 or MORE - DESCRIPTION & DETAILS