Revision Date
– 22/12/2014
page 5
FRIDGE FREEZER
ARB Fridge Freezer
2.3
Warranty Approval Form
(ARB Use Only)
Authorised By:
Claim
Number
Service
Agent:
Contact:
Address:
Phone:
Fax:
Date In:
Date Out:
Job No:
CUSTOMER DETAILS
Name:
Phone:
BH:
Address:
MOB:
P/Code
Cust Signature:
*NOTE
– Pre Warranty Inspection to be completed by customer prior to initiating claim (refer Warranty & Service booklet)
FRIDGE DETAILS
Model No:
Serial No:
Purchase
Date:
Receipt No:
Purchased
From:
Copy of Receipt
Attached
YES / NO
Condition Assessment
(mark scratches, dents, etc)
Notes:
Returned
with: (Tick)
12V Lead
240V Lead
Fridge Bag
Other
CUSTOMERS DESCRIPTION OF FAULT
REPAIRERS ASSESSMENT
PARTS REQUIRED
REPAIR TIME
(As Per Service
Manual)
TOTAL
LABOUR
COST
$
*Please Note
An invoice quoting the Claim No. must be submitted to
initiate payment of labour costs
(ARB Use Only)
Replaced parts to be returned for assessment
YES / NO
Within Australia Fax to (03) 9721 9096
