ACCURATE Warranty Claim Form
For Warranty Support Email: or Call: 604-591-6184
Email address *
Claim Details
Please Note - Submitting a claim and being issued a warranty tracking number does not guarantee approval of claim. All claims must be submitted and approved at the sole discretion of Accurate Fabricating Ltd.
Date *
Claimant Company Name: *
Claimant Company Address: *
Telephone #: *
Claimant Contact Name: *
End User Name: *
End User Address:
Telephone# :
Machine Model #: *
Machine Serial #: *
Machine Hours: *
Attachment Description:
Attachment Serial#:
Attachment Hours: *
Date of Failure: *
Nature of Claim *
Parts List & Raw Material Claim : Please itemize parts and/or labor claimed in this next section
Part Number:
Part Description:
Accurate's Invoice#:
Total Net Claim:
AF Service Labour Rate (supported @ $75/hr CDN)
Warranty Procedure Supporting Claim Settlement:
Returned, damaged or replacement parts prepaid unless directed indifferent by choice of AF. All returns are property belonging to AF. Provide written description of any indication that resulted in a material or workmanship failure. Including Photo's is recommended. Include AF requested additional supporting documents outlined in AF policy to assure maximum settlement. AF warranty approved settlement will be awarded via a credit note to your account.
Accurate Tracking No:
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy