Salsco CRV 0009130, Operator And Parts Manual

Page: 43 / 45

O:\Manuals\CRV Core Recovery Vehicle\CRV OperatorsAndPartsManual_10-2019.docx
- 43 -
SALSCO WARRANTY CLAIM FORM - Continued
WORK PERFORMED/COMMENTS ON REPAIR:
SHOP LABOR RATE: SUBMITTED BY:
TOTAL LABOR HRS TO REPAIR: PRINTED NAME:
SALSCO PART #: DESCRIPTION: QTY PRICE EACH TOTAL INVOICE #:
FILL IN ALL INFORMATION REQUESTED ON WARRANTY CLAIM FORM. INCOMPLETE FORMS CANNOT BE
PROCESSED & WILL BE RETURNED. LIST ALL PARTS USED. MAKE SURE PART NUMBERS ARE CORRECT. ANY PARTS
THAT YOU BELIEVE TO BE DEFECTIVE OR ANY PARTS THAT BREAK SHOULD BE RETAINED FOR POSSIBLE
INSPECTION UNTIL AFTER THE WARRANTY HAS BEEN PAID OR PART HAS BEEN RETURNED.
INV. # NEEDS TO BE
INCLUDED ON WARRANTY CLAIM.
OFFICE USE ONLY
DATE REC'D: DLR. DEL REPORT ON FILE: YES NO
CUST ID: WARRANTY CLAIM ON FILE: YES NO
SALSCO WC: PARTS TOTAL:
SALSCO RA: LABOR TOTAL:
DATE APPROVED: TOTAL APPROVED:
DATE REJECTED: REJECTED DATE:
PROCESSED BY: REASON: