Factory Warranty Pre-Authorization Form

Submission Date

mm/dd/yyyy

Company Name

Contact Person Name

Email Address

Contact Phone

Mower / Tractor Mounted Mower Equipment Model

Manufacture Date (if known)

mm/dd/yyyy

US Mower Invoice Number (if known)

US Mower Serial Number (if known)

Location of Purchase

Dealer Name and Location if not US Mower Direct

Warranty Reason *Please be Specific*

Have you Contacted USM for Advice on this?

Is the Operator(s) Trained by US Mower?

Have You/a Mechanic Attempted to Repair the Unit?

Was it Repaired by an Authorized Service Center?

If 'YES', What was the Service Center's Diagnosis?

Please Sign and Date (if not digitally submitted)

Please submit any supporting documentation, images and / or service invoices. You may submit this form digitally by clicking 'Submit' below, email forms/images to matt@usmower.com, or bring personally/mail to your dealer or US Mower.

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US Mower Only Below

US Mower Only - Warranty Authorized

US Mower Only - Diagnosis

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