Warranty Compensation Application - Kesla XS 190 Operation & Maintenance Manual

Kesla XS
®
190
SELF PROPELLED TELESCOPIC PLATFORM

WARRANTY COMPENSATION APPLICATION

KESLA OYJ
Metsolantie 2
59800 KESÄLAHTI
Tel. +358 13 682841
Fax. +358 13 6828100
Owner or holder of Access Platform___________________________________________
Postaladdress___________________ Tel.______________________________________
Model and serial number of Access Platform____________________________________
Access Platform delivered on (d/m/y)__________________________________________
Model and serial number of engine____________________________________________
DESCRIPTION OF DAMAGES AND THEIR CAUSES_____________________________
________________________________________________________________________
________________________________________________________________________
SPARE PART NUMBER AND DESCRIPTION OF PART WHICH CAUSED THE DAMAGE
________________________________________________________________________
________________________________________________________________________
HOW THE ACCESS PLATFORM IS BEING USED (e.g. rental shop)_________________
________________________________________________________________________
WORKING HOURS OF ACCESS PLATFORM WHEN THE DAMAGE OCCURRED_____
Damage date (d/m/y)___/___200___Repaired on (d/m/y) ___/___200_______________
Repaired by ___________________ Job No.___________________________________
The damaged parts have been returned to Kesla Oyj.
Shipment date____/____200________________________________________________
Method of delivery________________________ Delivered from____________________
Freight bill No.____________________________________________________________
The damaged parts are original parts Delivered as spare parts
New parts have been delivered, consignment note no._____________________________
No. of invoice____________________________Date (d/m/y)____/____200___________
Signature________________________________________________________________
Name in block letters_______________________________________________________
Enclosures_______________________________________________________________
To be filled in by Kesla Oyj:
Takuuhakemus saapunut:_____/____200_____
Osat saapuneet:______/____200______Osien säilytyspaikka__________
PÄÄTÖS
Takuuanomus hylätty, laskutetaan kaikki
Hyväksytty työkust. ja varaosat________
_____/____200______ Tarkastanut__________________________________________
_____/____200______ Hyväksynyt __________________________________________
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