Wufoo

Warranty Request

Note: All warranty requests must be submitted using this form. You will receive a warranty authorization number from Carriage Industries LLC.

Before any warranty work can be started, the warranty registration card must be received and on record at Carriage Industries LLC. Failure to follow these procedures can result in delay and or rejection of the warranty claim.

Dealership Name *
Customer Name *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone ### - ### - ####
Trailer Serial Number
Model
Date of Purchase MM / DD / YYYY
Check the box or boxes that most closely represent(s) the problem(s).
Electrical Mats Decals LQ Interior Structrual Windows Caulking Plumbing Paint Doors Tires LPG Systems Floor Latches Axles Audio/Visual
Other
Please provide a description of the problem
Send the Following parts to complete repair:
R/A # for defective parts
Cost of Repair $
Hourly Rate $
# Number of hours
Warranty Requested by:
Warranty Approved or Rejected (please select one) *
approved rejected
Warranty Authorization #: (if approved) *
Why warranty was rejected: (if not approved)
Do Not Fill This Out