Warranty Service Claim Form - Suburban SW10P Service Training Manual

ALL SHADED AREAS MUST BE FILLED IN WITH THE CORRECT INFORMATION!
SERVICE COMPANY
ADDRESS
CITY AND STATE
CUSTOMER NAME
ADDRESS
CITY AND STATE
CHECK ONE
□
APPLIANCE WAS INSTALLED BY AN RV MFG (OEM)
□
APPLIANCE PURCHASED FROM AFTERMARKET
DATE SERVICE REQUESTED:
COMPLAINT:
SERVICE PERFORMED:
PARTS USED FOR REPAIR
PART NUMBER DESCRIPTION
INSTRUCTIONS FOR DEFECTIVE PARTS RETURNS:
All water heaters, module boards, motors, valves, electric elements, and combustion
chambers must be properly tagged and returned for factory inspection within 60
days. The labor claim should be returned with these parts.
All other parts may be field scrapped - please mark on the claim form that the part was
"Field Scrapped". Field scrapped parts should be held until the claim is approved by
the factory.
DO NOT SUBMIT INVOICE UNTIL SERVICE IS COMPLETE.

WARRANTY SERVICE CLAIM FORM

TELEPHONE NO.
ZIP CODE
TELEPHONE NO.
ZIP CODE
WARRANTY AUTHORIZATION NUMBER:
DIAGNOSIS AND SERVICE PERFORMED
SUBURBAN MANUFACTURING COMPANY
SERVICE COMPANY
WORK ORDER NUMBER
SUBURBAN MFG. CO.
CLAIM NUMBER
APPLIANCE MODEL NUMBER:
SERIAL NUMBER:
PURCHASE DATE:
VEHICLE MANUFACTURER:
VEHICLE ID NUMBER:
FLAT RATE TIME:
LABOR AMOUNT:
TOTAL:
TECHNICIAN SIGNATURE
CUSTOMER SIGNATURE/COMPANY NAME
IF NOT ORIGINAL APPLIANCE OWNER
Please retain a copy of this form.
676 Broadway Street
Dayton, Tennessee 37321
423-775-2131
www.RVComfort.com
VEHICLE MODEL:
DATE SERVICE COMPLETED:
$
$
DATE
DATE