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© Ferno Srl Rescue Lite Full Body Splint - Rel. 300420
Germa Rescue Lite Full Body Splint
CLAIM REPORT
Report no. :
(To be assigned
in by Manufacturer)
Please print or type or fill in by MS Word, all sections a. – i. Fax or e-mail to your supplier.
Please use repair order when reporting repairs not associated with complaints.
For claims please specify :
Purchase Date
Description of product
Description of Incident/Problem: 1) What, 2) How?
When? In connection with: 1) transport, 2) unpacking,3) preparing, 4) test, 5) cleaning, 6) normal use, 7) training,
8) disassembly, 9) assembly,10) storage, 11) other
: