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Warranty claim form

Please insure you have completed a Field Issue Report and have had approval from Trimax to proceed with a Warranty Claim before you complete this form.

Warranty Claim Form

"*" indicates required fields

Submitter Information.

Submitter Name*
Failed Parts Returned to Trimax*
Parts Information
Quantity
Part Number
Description
Price (EA)
 
Eg. Qty: 12 | Part Number: 504-000-133 | Description: Spindle | Price (EA): 850.76
Eg. 850.00