Warranty Request Form - K-Line TRASHCUTTER 2740T Operators Safety Manual

W A R R A N T Y R E Q U E S T F O R M
RESELLER: _______________________ CLIENT: _________________________
ADDRESS: _______________________ ________________________________
PHONE: _________________________ ________________________________
MACHINE MAKE & TYPE: ____________________________________________
SERIAL NO: ______________________ CUSTOMER ORDER NO: _____________
INVOICE NO: _____________________ DATE OF INVOICE: _________________
FULL DESCRIPTION: ________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
CAUSE: __________________________________________________________
________________________________________________________________
________________________________________________________________
DATE OF FAILURE: _______________
DATE OF REPAIR: ________________
I AGREE:
1. That in accordance with the warranty given by K-LINE AGRICULTURE, I have taken every reasonable
precaution as is commonly expected in this industry in the operation of the machine.
2. This claim is not due to negligence, lack of maintenance, routine wear & tear or accidental damage &
no unauthorized alteration has been made to this machine.
OPERATOR: SIGNATURE ________________________________
DATE:_____________________
OWNER: SIGNATURE
DATE:_____________________
OFFICE USE ONLY:
ACCEPTED: YES/NO
DATE: ___________________________________
GOODS REPAIRED/ REPLACED/ REFUNDED FOR
CREDIT? (CIRCLE)
REFUND OR REIMBURSEMENT REQUIRED?
_
CHQ NO/ ADJUSTMENT NOTE NO: ___________
SHIPPING DETAILS: _______________________
APPROVED BY: ___________________________
ACTION TAKEN: ___________________________
__________________________________________ REFER TO SUPPLIER
CLIENT SATISFIED YES/NO
FILE CLOSED BY: _________________________
2740T TRASHCUTTER
new 2740 trashcutter op & safety manual.indd 43 new 2740 trashcutter op & safety manual.indd 43
HOURS WORKED: ____________
HECTARES WORKED: __________
_________________________________
DENIED:
___________________________________
YES/NO
DATE: _____________________________
REASON FOR DENIAL: _______________
__________________________________
CHANGE REQUIRED? (CIRCLE)
DESIGN
WORK METHOD
SUPPLIED PRODUCT
RECALL REQUIRED
DATE: _____________________________
OPERATOR & SAFETY MANUAL
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