- PRODUCT & SHIPPING WARRANTY CLAIM FORM -
Please provide details of your warranty or shipping claim to proceed with the process.
1. CUSTOMER INFORMATION
Full Name:
*
First Name
Last Name
Email Address:
*
example@example.com
Phone #:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
2. PRODUCT CLAIM INFORMATION
Date of Claim:
*
-
Month
-
Day
Year
Date Picker Icon
Item(s) Purchased:
*
Please enter the name of the items purchased.
Order #:
*
Please enter the original order #.
Order Date:
*
Enter date the date of your order.
Purchase Method:
*
I purchased direct through DWA website
I purchased from a 3rd party website
A dealer purchased from DWA and sold to me
Purchase Protection Plan:
*
I did not purchase shipping protection or a protection plan
I purchased shipping protection only
I purchased a 1 year protection plan that included shipping protection
I purchased a 3 year protection plan that included shipping protection
I don't know
Product Issue:
*
Please Select
Manufacturing Defect
Freight Damage
Wrong Item
Missing Parts/Pieces
Other
Please select the problem with your product.
Please Describe Other Issue:
*
Please enter other issue that was not available in the previous
Product Status:
*
Still in box
Unboxed
Installed
Original Product Packaging:
*
Still available
Not available
Detailed Description of Damage, Defect or Issue:
*
Please enter as many details as you can. The more information we have the better. Thank you.
Additional Information or Comments Relevant to the Claim:
*
Upload a Minimum of 3 Photos:
*
Upload a File
Drag and drop files here
Choose a file
TIP: The more images the better. But at a minimum, at least 1 photo close-up of issue and 2 or more from a distance so we are better able to understand the issue. You may also upload video.
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CLICK HERE TO READ DIRT WARRIOR ACCESSORIES LIMITED MANUFACTURER'S WARRANTY (1 YEAR)
*
By clicking “Submit Claim” you agree that you have read and agreed to the terms of the Dirt Warrior Accessories 1 Year Limited Warranty, including the BINDING ARBITRATION AGREEMENT AND CLASS ACTION WAIVER FOR U.S. RESIDENTS SET FORTH THEREIN. *
3. SUBMIT
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