Whale WH/WI0802, How-To Manual, Page: 19 / 32

Munster Simms Engineering Ltd. , 2 Enterprise Road, Bangor, Co Down, BT19 7TA, U.K. – Northern Ireland
tel.: +44 (0)2891 270 531 fax.: +44 (0)2891 466 421 info@whalepumps.com www.whalepumps.com
Page | 19 of 32
Water Heater
1 Please return this form to the Quality Department at Munster Simms Engineering Limited.
2 Where applicable, replacement goods will be sent to the form initiator as listed below.
Initiator details
Name, Initial(s)
Address
Telephone/Mobile
Fax
e-mail
1
Date of Claim
(dd/mm/yy)
CLAIM 1 CLAIM 2 CLAIM 3
2 End user details
Name, Initial(s)
Address
3 Installation type
Domestic
  
Marine
  
RV
  
Make & model
(1)
4 Year of model
5 Product
(incl. part no.)
6 Date of purchase
(dd/mm/yy)
7 Quality assurance no.
(on silver sticker)
8 Description of fault
(“faulty” is not a
description)
9 Distributor’s action
10 Details of action taken
by retailer or Whale
11 Repair kit issued
Product issued
Labour cost
sold/foc
(2)
sold/foc
(2)
sold/foc
(2)
12 For Whale use only
Complaint no.
(1)
Marine and RV only.
(2)
Delete as appropriate.