Claims / Warranty Form

Claims / Warranty Form

By creating submitting a claim, you agree to Tayco's Warranty Policy and Terms and Conditions. https://www.tayco.com/terms-conditions/ https://www.tayco.com/warranty/

I agree*

Functionality

Is the End User Functional*

Select

Comments

If you have indicated "No" above. Please describe why they are not functional.

Company Info

Dealer Name*

Dealer Contact Name*

Dealer Phone#*

Email*

Project Info

Tayco Order#*

Customer PO#

Project Name / End User/Case Description*

Install Date

Please enter the Ship To and Site Contact of where we should ship products, in the event replacements are deemed necessary. If "Pick up" is the desired method, please just write "Pick Up" in all the address fields.

Ship To Company*

Ship To Address*

City*

Postal / Zip Code*

Province/State*

Country*

Select

Site Contact Name*

Site Phone#*

Site Contact Email

Reason for Claim

Reason Category*

Select

Replacement Parts Needed

Claim Item#1

Part#1*

If part is not known, key in the item # from your PO.

Description*

Qty*

Colour

Issue#1*

Claim Item#2

Part#

Description

Qty

Colour

Issue

Claim Item#3

Part#

Description

Qty

Colour

Issue

Claim Item#4

Part#

Description

Qty

Colour

Issue

Signed For Freight Damage

Was the damage confirmed by signing the bill of lading? (Applicable to freight damage only)

Select

Supporting Documents*

To support your claim, please upload one of the following documents: 1. Images of the damaged product 2. Copy of the signed bill of lading that certifies visible damage 3. Supporting Documents and Inspection Reports Please Note: That the claim may be denied due to insufficient supporting documents.

Drag and drop files here or

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