Autonational Warranty Claim Form.xls - Autonational_ car parts and

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Autonational Warranty Claim Form.xls - Autonational_ car parts and Powered By Docstoc
					                                                                                      AUTONATIONAL USE ONLY
Autonational                                                                   CLAIM REF NO:
Troy Industrial Estate,                                                        AUTO REF NO:
Jill Lane, Sambourne,                                                                 FOR CUSTOMER USE
Worcestershire. B96 6ES                                                        YOUR REF NO:
Tel: 01527 892003 Fax: 01527 893310                                            DATE RETURNED:


                     WARRANTY CLAIM FORM
                              COMPLETE ALL SECTIONS OF THIS FORM
         NAME & ADDRESS                 NAME/ADDRESS OF CUSTOMER                  NAME/ADDRESS OF VEHICLE
                                             FITTING (IF DIFFERENT)                              OWNER




TEL:                                  TEL:                                     TEL:

                 DETAILS OF CLAIM                                              DETAILS OF VEHICLE
       PART NO        DESCRIPTION      ORIGINAL INV NO                MAKE             MODEL


                                                                CHASSIS NO         ENGINE NO


A SEPARATE CLAIM FORM MUST BE COMPLETED FOR                                  DETAILS OF COMPONENTS
                 EACH SEPARATE CLAIM                                  ORIGINALLY FITTED
                                                             DATE:
DETAILS OF THE INVOICE GIVEN TO YOUR CUSTOMER                MILEAGE WHEN FITTED            MILEAGE WHEN REMOVED
COPY ENCLOSED                     YES / NO
INVOICE NO                                                                   TOTAL VEHICLE MILEAGE
INVOICE DATE

PRECISE DETAILS OF FAULT




           NOTE: EXACT DETAILS OF SYMPTOMS EXPERIENCES MUST BE GIVEN OR REASON FOR REMOVAL FROM
              VEHICLE STATEMENT OF 'FAULTY' IS INSUFFICIENT AND WILL DELAY INVESTIGATION OF CLAIM

IS A LABOUR CLAIM BEING MADE?                                                         YES / NO
IS THE LABOUR INVOICE ATTACHED TO THIS CLAIM FORM?                                    YES / NO
ANY INFORMATION OMITTED FROM THIS FORM WILL DELAY INVESTIGATION OF CLAIM.

SIGNED………………………………………………………………………                         PRINT NAME…………………………………………………………………..
POSITION…………………………………………………………………..
                                                                                                          QC. 36b
AUTONATIONAL USE ONLY



   FOR CUSTOMER USE




FORM
AME/ADDRESS OF VEHICLE
         OWNER




ILS OF VEHICLE
                   YEAR


                  REG NO


OF COMPONENTS
           REMOVED


      MILEAGE WHEN REMOVED


VEHICLE MILEAGE




ON FOR REMOVAL FROM
STIGATION OF CLAIM




……………………………………………..


                      QC. 36b

				
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