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4LPPT70EN - 5/2023
APPENDIX D: Claim form
The purchaser must file a claim for all compensation
related to the hose and pump guarantee within 30 days
after the fault has been detected.
The following information must be included. Fill in the
form using block letters, or provide the manufacturer
with the same information in another manner. In any
instance, the claim must be made in writing.
PUMP SERIAL NUMBER:
DATE WHEN THE FAULT WAS
DETECTED (dd.mm.yyyy):
OPERATING CONDITIONS
IN WHICH THE FAULT WAS
DETECTED:
DESCRIPTION OF THE FLOW-
ING
MEDIUM:
AN EXACT DESCRIPTION
OF THE FAULT:
If all of the above information is not sent to the
manufacturer in writing, the purchaser loses the right of
guarantee.
