Service Request

Tell us what happened. We use this to open a warranty claim.

Your information

Purchaser name * Company Phone * Email * Best time to reach you

Machine

Model * Serial number / VIN * Purchase date Purchased from Current location of the machine *

Is the machine currently operable? * Fully operable Partially operable Not operable Unsafe to start

If not operable, can it be safely transported? Yes No Unknown Not applicable

Operator

Operator name (the person at the controls when the issue occurred) *

Is the operator a direct employee of the purchaser company? * Yes No

Operator training / certification How many operators run this machine? Average hours of operation per day Type of work this machine performs *

Service history

Engine hours at the time of issue * Current engine hours on the machine * Date of last scheduled service Who has been performing maintenance?

The issue

Date the issue first occurred * Where did the issue happen? * What was the machine doing when the issue occurred? * Detailed problem description * Error codes, warning lights, sounds, smells, leaks *

How has the issue progressed? * Sudden failure Gradually getting worse Intermittent Stable since first occurrence Resolved on its own

Troubleshooting attempted to date * Has anyone else inspected the machine? Previous repairs to this component or area

Service records

At least one proof of service is required. Eight dated slots, same fields as the current form.

Service date 1Record

Service date 2Record

Service date 3Record

Service date 4Record

Service date 5Record

Service date 6Record

Service date 7Record

Service date 8Record

Photos & video of the issue

Photos or video

Attestation

Type your full name to sign * Date * I confirm that all information provided above is true and accurate to the best of my knowledge, and that the attached service records correspond to this machine.

Get in touch

Contact About

Company

Home Blog Available inventory Wheel Loaders Attachments