Warranty Form

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Comments

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Dealership*

Phone Number*

Email*

Dealer Claim Number*

Completed By*

Attachment Serial Number*

In-Service Date*

Date of Failure

Nature of Failure*

Hours In Use*

More Information

Total Hours

Total Cost of Labor

Total Cost of Parts

Sublet Labor

Net Claim Total

Have the defective parts been returned to Werk-Brau?

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