Safety Notice 120013
Completion Form
Your signature on this form will verify that you have completed Safety Notice 120013 on the machines listed below.
Please note that this is not a Warranty Claim Form. A Warranty Claim Form must be submitted to the
Terex AWP Warranty Department for reimbursement under the provisions of our standard warranty terms
and conditions.
Fax to:
United States
877-738-7530
United Kingdom
0044 1476 584 330
Canada
425-498-7530
France
0033 237 260 998
Australia
61 733751002
Germany
0049 4221 491 820
All other locations
001-425-498-7530
Italy
0039 075 941 8146
Iberica
0034 935 725 080
Scandinavia
0046 3157 5104
Middle East
0097 143 990 382
All other locations
0031 165 510 826
Email to: [email protected]
Date:
Company Name:
Account # (if applicable):
Address:
(street)
(city)
(state, zip code)
Phone:
Please list the complete serial number
Serial Number:
Serial Number:
Print (service manager)
Signature
Date
Instructions
Part No. 219267
Rev C
SmartLink Software Update