Ward Apparatus
1250 Schweizer Rd.
Horseheads, NY 14845
warranty@wardapparatus.com
www.wardapparatus.com
(607)796-0149
Today's Date
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Warranty Claim Form
1. Unit transport for warranty claims are not a responsibility of Ward.
2. It is in our right to disapprove any claim request that is found incorrect or fraud.
Unit Information
Direct Purchase or Dealer
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Direct Purchase
Dealer
Dealer Name (If Applicable)
Customer Name
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Unit Received Date
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Month
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Day
Year
Body Type
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Vehicle VIN
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Current Odometer Reading
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Type(s) of Issue
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Mechanical
Structural
Electrical
Paint
Describe the issue
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Detail Photos of the Warranty Issue
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Contact Information
Primary Contact
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First Name
Last Name
Email
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Phone Number
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Dealer Use Only
Estimate for Repair
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