Phoenix Transit Warranty Claim Form

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

Contact Information

Please fill in the required contact information below.

Customer Name*

Choose your account from the drop-down list below, if account is not listed please contact the Phoenix Transit team at TransitWarranty@phoenixmotorcars.com to be set up as a provider.

Select

Contact Name*

Contact Phone*

Phone

Contact Email*

Address*

Please Provide Payment Address

City, State and Zip*

Service Item Information

Please provide required information on item being serviced below

Service Item Type*

Choose Item Type.

Select

VIN/Serial Number*

Please include full Vehicle Identification Number or Charger Serial Number.

Fleet Number (Optional)

Vehicle Mileage*

Please include vehicle mileage or choose N/A for chargers.

Repair Information

-For Service Bulletins, Campaigns and Recalls please provide the associated SC-23-XXX number.

-For all other repairs please put description of the Complaint, Cause & Correction.

Service Bulletin or Corrective Maintenance/ Repair*

Please due not use Corrective Maintenance/ Repair option if a Service Bulletin, Campaign or Recall is performed. Doing so will cause delays in the approval process.

Select

Service Bulletin, Campaign or Recall Number.*

Please Enter the Service Bulletin, Campaign or Recall number performed Example: SC-23-XXX

Failure Date*

Complaint*

Cause*

Correction*

Repair Completion Date*

Customer Work Order #*

Please provide a Work Order or Reference Number. Please attach a copy of your work order below.

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.

Part Reimbursement Requested

Select "Yes" to add Part Information when requesting part reimbursement.

Part Sales Order #

Qty Part 1

Part Number 1

Part 1 Description

Part 1 Amount

Removed Part 1 Serial Number

Replacement Part 1 Serial Number

Qty Part 2

If an additional part is needed change field from "No" to part quantity

Part Number 2

Part 2 Description

Part 2 Amount

Removed Part 2 Serial Number

Replacement Part 2 Serial Number

Qty Part 3

If an additional part is needed change field from "No" to part quantity

Part Number 3

Part 3 Description

Part 3 Amount

Removed Part 3 Serial Number

Replacement Part 3 Serial Number

Additional Parts

If an additional part(s) is needed change field from "No" to part quantity and Part Number(s) below, add Part Description(s), Part Amount and any other information in the "Additional Part Info" box.

Additional Part Info

Travel Reimbursement Requested*

Travel Reimbursement is available only prior to work performed. A travel agreement must be completed and returned to TransitWarranty@phoenixmotorcars.com before any travel can be approved. For all travel, Travel receipts must be submitted with the claim in order to be approved.

Number of Techs*

Number of Days Total*

Car Rental. (Please enter Cost of Rental)*

If no car was rented please enter $0.00 dollar amount.

Fuel (Rental Only)*

Air Fair/ Travel*

If no airfair or Travel was used please enter $0.00 dollar amount

Hotel*

If no Hotel was needed please enter $0.00 dollar amount.

Per Diem*

If no per diam was used please enter $0.00 dollar amount

Total Travel Requested $*

File Upload Box*

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

Drag and drop files here or

Note to Warranty Administrator

Add any additional information below.

Claim Information

Please enter request claim amounts below.

Labor Rate ($)*

Diagnostic Hours Requested (If Applicable)*

Repair Labor Hours Requested (If Applicable)*

Total Hours Requested*

Proterra Work order #

Prior Authorization Code (PAC) Number

A PAC number is required to be approved prior to submitting your claim for any diagnostic or repair time above the allotted time given per the standard repair time guide. This number will be in the format of "PACXXX"

Goodwill Number

A Goodwill number is required to be approved prior to submitting your claim for any repair that is no longer covered under warranty. This number will be in the format of "GW-XXX"

Labor Total ($)*

Total Part Amount*

Enter Total Part Amount requested below.

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 above.

Sublet Amount Requested

Select "Yes" to add Sublet Information when requesting sublet reimbursement.

Tow Fee/ Transport Fee

For all Tow Fees a Tow Bill must be submitted with your claim.

Sublet Amount

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

Sublet Description

Please provide a description of the sublet below.

Additional Charges Requested

Select "Yes" to add Additional Charges when applicable. For example: "Taxes, HST or GST".

Additional Charges

Please provide amount being requested.

Additional Charges Description

Please provide an explanation of any additional charges below.

Currency*

USD

Total Claim Amount*

Enter total claim amount requested including, Labor, Parts, Sublet and Additional charges.

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 correctly and have uploaded all supporting documents.

All claims must be filed with Phoenix 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:

For all Service Bulletins, Campaigns, and Recalls a campaign number must be added to your claim. These numbers are usually in the format of SC-24-XXX. If you do not know the Phoenix Bulletin, Campaign, or recall number please contact your local Phoenix Field Rep or email TransitService@phoenixmotorcars.com.

All repairs must be completed and Bus back in service before any claim can be submitted.

Labor:

All claims are subject to the Standard Repair Labor Time guide Provided to you. 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 the claim being denied.

For additional approved labor. Please send supporting documentation to TransitService@phoenixmotorcars.com

For the most recent Standard Repair Time Guide please contact TransitWarranty@phoenixmotorcars.com.

Parts

Any and All parts invoices must be submitted with your claim. Parts cannot be reimbursed without supporting documents. For part invoices please contact parts@phoenixmotorcars.com.

Travel:

A Travel agreement must be submitted and pre-approved prior to traveling before you submit your claim. If no approved travel agreement is on file. All travel will be denied automatically. Please submit your travel documents with your claim. To see if you are eligible and/ or apply for travel please contact TransitWarranty@phoenixmotorcars.com.

Payments

Once you have received a return email stating your claim has been approved and submitted to accounting. For payment status and updates please contact accounting at ap@phoenixmotorcars.com. Please provide your Phoenix claim reference number and date it was approved so accounting can assist with your payment status.

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 TransitWarranty@phoenixmotorcars.com for any claim questions that may arise.

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

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 Phoenix Motorcars, Inc. to use the information on this form for the purpose of processing your claim.

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

Send me a copy of my responses

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