Proterra Powered Warranty Claim Form 2.0

Proterra Powered Warranty Claim Form 2.0

By submitting this form you declare that the information submitted is true and correct to the best of your knowledge and belief and that you have complied with the conditions of the warranty. You also provide consent to Proterra Inc. to use the information on this form for the purpose of processing your claim.

Please Read below carefully as our Warranty Claim form options have changed.

As Proterra continues to grow and evolve so will our online Warranty claims submission form so that we can better help service our customers.

Before Submitting your Warranty Claim please be sure all repairs have been completed.

Appendix 1.0 - Before Submitting your claim

Before submitting your claim please be sure that you have reviewed your claim and entered your Vin/ Serial number correctly. Also please be sure that you have entered your totals correct and have uploaded all supporting documents.

All claims must be filed with Proterra within 30 days of the repair completion date. All Claims received after 30 days of the repair completion date are subject to a 25% penalty. Claims beyond 90 days will be denied without written approval before hand from Proterra.

Repairs:

All repairs must be completed and vehicle back in service before any claim can be submitted. For Powered Service Support please complete the link below:

https://www.proterra.com/customer-support/open-a-support-ticket-with-proterra-powered/

Labor:

All claims are subject to the Standard Repair Labor Time guide based off your customer contract. Any labor time or diagnostic time above such allot time must be pre-approved prior to submitting your claim or such additional time will be denied. Failure to submit a PAC number for additional time prior to submitting your claim may result in any additional time to be denied.

For additional approved labor. Please send supporting documentation to service@proterra.com

Parts:

To have parts returned please follow the link and Complete the RMA Form.

https://app.smartsheet.com/b/form/75885188d8644d329aea7613c1143a37

All Parts are required to be returned to Proterra before claims can approved and sent to accounting. Failure to return any parts can result in denied claims.

Any and All parts invoices must be submitted with your claim. Parts cannot be reimbursed without supporting documents such as proof of purchase. If you need a part invoice number please contact parts@proterra.com.

Customer Service

For more Helpful Proterra Powered Links. Please visit our Customer Service Support Page.

https://www.proterra.com/customer-support/proterra-powered/

Errors or missing documents may prolong your claim approval or may cause the claim to be denied. Please be sure to double check your submission and have all supporting documents attached.

Please reach out to warranty@proterra.com for any warranty questions that may arise.

Manufacture Information

Vehicle Manufacture Name*

Choose the manufacture from the drop-down list below, If the manufacturer is not listed please contact the Proterra Powered team at stownsend@proterra.com.

Select

Manufacturer Claim Number (If Applicable)

Contact Information

Please fill in the required contact information below.

Contact Name*

Contact Phone*

Phone

Contact Email*

Payment Street Address*

Enter Address For Claim Payment

Payment City, State and Zip*

Product Information

Please provide required information on item being serviced below.

Vehicle Type/ Model*

Enter Vehicle Type and Model

VIN/Serial Number*

Please include full Vehicle Identification Number or Charger Serial Number.

Vehicle Mileage*

Please include vehicle mileage or hours of operation

Fleet Number (Optional)

In Service Date*

Warranty Part Information

If you are requesting reimbursement for parts or supplies used in conjunction with the repairs made, please select "Yes" below and enter the requested information. A copy of the sales order or receipt of the part(s) is required for any part to be reimbursed.

Failed Component Type*

Choose failed component type from Dropdown list.

No Parts Required - Labor only

Proterra Part Sales Order #*

Battery Pack Type*

Select or enter value

Failed Battery Serial Number*

All battery claims must contain the removed battery serial number. Claims received with incorrect or missing serial numbers are subject to rejection.

Replacement Battery Serial Number*

All battery claims must contain a replacement battery serial number. Claims received with incorrect or missing serial numbers are subject to rejection.

Total HV Battery Amount (If Applicable)

HV Battery A-Bay Component - Part 1*

Failed A-Bay Component - Part 1 Quantity.*

HV A-Bay Component Part 1 Dollar Amount

HV Battery A-Bay Component - Part 2

Failed A-Bay Component - Part 2 Quantity.

HV A-Bay Component Part 2 Dollar Amount

Failed Part #1 Serial Number/ Part Number*

Please provide serial numbers for both removed and replacement components where available. (Please be sure to use the Proterra Part number and or Proterra Serial Number)

Failed Part #1 Description *

Part #1 Quantity*

Please provide a description of the component replaced.

Failed Part #2 Serial Number/ Part Number

Please provide serial numbers for both removed and replacement components where available. (Please be sure to use the Proterra Part number and or Proterra Serial Number)

Failed Part #2 Description

Part #2 Quantity

Part # 1 Amount*

Part #2 Amount

Part 1 Serial Number

Part 2 Serial Number

Handling Cost

RMA Number*

RMA Tracking Info*

Repair Information

Please provide brief description of the Complaint, Cause & Correction

Proterra Contact*

If you worked with a Proterra Representative on these repairs please select their name below. If they are not listed please select other and enter their name on the next row.

Select

Other Contact

Please provide your internal work order number.*

Please Provide your the shop Work order number associated with the repair.

Proterra Powered Work Order Number*

If you worked with a Proterra Representative, Please provide the Proterra Work order number. This work order number will be supplied by your Proterra Representative.

Failure Date*

Complaint*

Cause*

Correction*

Repair Completion Date*

File Upload Box*

Please include a copy of your internal work order, parts invoices, sublet invoices, photos and any other supporting documentation below.

Drag and drop files here or

Claim Information

Please enter labor rate and total requested hours below.

Labor Rate*

Currency Type*

Select

Diagnostic Hours Requested (If Applicable)

Repair Labor hours Requested (If Applicable)

Total Labor hrs Requested*

Sublet Reimbursement and Additional Charges

If you are requesting reimbursement for a sublet invoice or any additional charges, please select "Yes" below and enter the requested information. Please include a copy of the Sublet Invoice in the upload box.

Sublet Amount or Additional Charges Requested

Sublet Description*

Please provide a description of the sublet below.

Total Sublet Amount*

Please provide the amount requested and attach supporting documentation in the upload box below.

Additional Charges Description*

Please provide an explanation of any additional charges below.

Total Additional Charges*

Please provide amount being requested.

Total Parts Costs*

Enter Total part amount requested below.

Tax, GST, HST (If Applicable)

Total Labor Costs Requested*

Total Claim Amount Requested*

Enter total claim amount requested including, Labor, Taxes, Parts, Handling, Sublet and/or Additional charges.

Notes to Warranty Administrator

Add any additional information here.

I have read and understand the the Appendix 1.0 Section above.*

By checking the box you have read and understand the appendix 1.0 section above.

Send me a copy of my responses

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