"" 1 Warranty Claim Form Today's Date Model Serial # Date of Purchaseof appointment Owner's Name Addressyour full name Cityyour full name Languagepick one!StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipyour full name Phoneyour full name Cell Phone Lift Purchased From (Dealer Name)your full name Warranty Card on FileYesNo Mfg. Date Describe Problem with Lift0 / Date defective part returned for inspectionof appointment Inspected Byyour full name Warranty Approved?YesNo Approved By DispositionRepairedScrapped Cost to Repair Parts Laboryour full name Freight Additional Comments and Informationmore details0 / reCaptcha v3 Submit Form Previous Next
