Warranty Machine Claim Form - THAWZALL ground thawing and cold weather concreting for winter construction.

SUBMIT ONE CLAIM PER MACHINE

Your Company Information ALL FIELDS REQUIRED IN THIS SECTION
Your Company Is: Company Name: Your First Name: Your Last Name: E-Mail Address: Company Street Address: City: State/Province: Zip Phone Number: Fax Number:

Machine Claim Information
MACHINE CLAIMS ONLY VIN is found on the tongue of the trailer Helpful hint: save time by matching the last three digits of the VIN to list below. Model 2M: Model 6A: Model 12F: Model 12HU: Model Xtreme Heat: Generator Serial Number (if applicable): If the VIN number for your machine is not listed above and you believe this is an error, please E-Mail warranty@themachinecompany.com with your Company name, contact information and VIN number.

Describe Problem And Solution ALL PARTS OF THIS SECTION REQUIRED
Affected part(s): List part number(s) and description(s) here Describe failure: Describe the failure here. Be specific when describing how the part(s) failed. Describe how the problem was rectified: Include details such as whether a part was replaced or repaired.

Repair Parts Information Both sections may be used if applicable ONE SECTION REQUIRED
REPAIRS MADE BY YOUR COMPANY Complete this section if your company provided repair service Date Of Repair: Number Of Labor Hours: Labor Rate: Labor hours and rate are subject to limitations determined by T.H.E. Machine Company. *PARTS PURCHASED FROM T.H.E. MACHINE COMPANY* Parts Purchase Date: Parts Purchase Invoice Number: Are You Claiming All Parts Listed On This Invoice? Yes No If you answered "No" - Use this area to list part numbers on invoice NOT to be included in this claim.

OUTSIDE VENDOR INFORMATION Complete this section only if an outside vendor provided parts or service Company Name: Company Street Address: City: State/Province: Zip Phone Number: Date of Repair: Amount Paid for Repairs: Invoice #: Additional information will be required if this section is completed.
Do not return failed parts or send correspondence until you have received a confirmation E-mail with an assigned warranty claim number. When you click "Submit" this form will be sent to our Warranty Dept. Please do not print and fax to our office unless instructed to do so.


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THAWZALL™ heater provides ground thawing and concrete curing for winter construction projects.				THAWZALL, Inc. Glenwood, MN (888)757-3545 E-Mail: thawzallinfo@thawzall.com


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