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WARRANTY CLAIM / INITIAL QUALITY REPORT FORM
*indicates required fields
IQR: Use this button in order to request Parts returns, Parts mis-shipment corrections, and Advise quality department of concerns in the field.
Warranty: Use this button in order to request reimbursement on manufacturing defects. This includes reimbursement for repair of original machine components, and replacement "Parts Warranty".
NOTE: Filling out this request form does NOT send out the replacement parts. Please contact your customer service representative.
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Service Center Information
Claim Details & Job Information
* Description Of Failure, Including All Relevant
Part Numbers (please fill out for IQR / Warranty Claim) :
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Warranty / IQR Information
General Issues (check all that apply)
Comments / Additional Information:
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