Warranty request

Company

Name

Client code / client number

Type of vehicle

Chassis number

Date first registration vehicle

Mileage mounting of part

Date mounting of part

Mileage demounting of part

Date demounting of part

Order reference of warranty part

Do you want us to return the warranty part when your request has been rejected?

Yes (The articles will be sent back to you as soon as possible. Please take note that additional freight charges will be taken into account)

No (The warranty parts will be destroyed)

Article reference

Quantity

Description

Upload copy of certificate of registration (pdf, jpeg, png)

Upload copy invoice (pdf, jpeg, png...)

Upload photo that illustrates damage (pdf, jpeg, png...)