Field Issue Report

To help us with the continuous improvement of our mowers, we want to know when something goes wrong. When you have an issue with your Trimax mower, complete as many of the fields below as possible and a Trimax Service Representative will be in touch to offer assistance.

This form is also the first step in the warranty claim process.

Field Issue Report - Rev 03

"*" indicates required fields

Submitter Information.

I am a...*

Dealer

Trimax Employee

Trimax Customer

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Submission Type.

I am submitting a...*

Submission Type*

Current issue with a mower

Suggestion for mower improvement

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Section (Employee)

Your Name*

First Last

Customer Information.

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Customer Name

Customer Name*

First Last

Company Name

Customer Phone

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Customer Phone (OLD)

Customer Email

Include Customer in Communications?*

Customer's Address*

Street Address * Address Line 2 City * State / Province / Region * ZIP / Postal Code * Country *

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Section (Customer)

Your Name*

First Last

Company Name

Your Phone

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Your Phone (OLD)

Your Email

Your Address*

Street Address * Address Line 2 City * State / Province / Region * ZIP / Postal Code * Country *

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Section (Dealer)

Your Name*

First Last

Dealership Name*

Your Phone Number

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Your Phone Number (OLD)

Your Email*

Customer Information.

Customer's Name*

First Last

Customer's Company Name

Customer's Phone Number

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Customer's Phone Number (OLD)

Customer's Email

Include Customer in Communications?*

Customer's Address*

Street Address * Address Line 2 City * State / Province / Region * ZIP / Postal Code * Country *

Suggestion Details.

Machine Type

Improvement Suggestion

Add Photos

File number limit: 10, Single file size limit: 10MB, Allowed file types: Word, PDF, Images

Drop files here or

Accepted file types: jpg, jpeg, gif, png, bmp, tif, tiff, heic, doc, docx, pdf, Max. file size: 10 MB.

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Section Break - Universal Content

Product Information and Issue.

Serial Number*

Machine Type*

Description of Issue*

Failure Date*

Mower Delivery Date*

If you are unsure of the exact delivery date please enter the approximate date.

Tractor Make, Model and HP

Add Photos

File number limit: 10, Single file size limit: 10MB, Allowed file types: Word, PDF, Images

Drop files here or

Accepted file types: jpg, jpeg, gif, png, bmp, tif, tiff, heic, doc, docx, pdf, Max. file size: 10 MB.

Product Repair.

Has a repair already been completed?*

Who will be completing the repair / warranty claim?*

Who completed the repair / will complete the warranty claim form?*

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Dealer that will handle the repair/claim

Dealer Company Name*

Dealer Email*

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Other entity that will handle the repair/claim

Repairer's Contact Name*

Repairer's Contact Email*

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Dealer that handled the repair/claim

Dealer Company Name*

Dealer Email*

Hidden

Other entity that handled the repair/claim

Repairer's Contact Name*

Repairer's Contact Email*

Hidden

Other entity that will handle the repair/claim

Contact Name*

Contact Email*

Hidden

Other entity that handled the repair/claim

Contact Name*

Contact Email*

Field Issue Report