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*
Yes / OuiNo / Non

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

Company Info

Dealer Name/Rep Group*

Rep/Dealer Contact Name*

Rep/Dealer Contact#*

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*
CANADAUSA----------------------------------AFGHANISTANALBANIAALGERIAANDORRAANGOLAANTIGUA & BARBUDAARGENTINAARMENIAAUSTRALIAAUSTRIAAZERBAIJANBAHAMAS, THEBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBHUTANBOLIVIABOSNIA & HERZEGOVINABOTSWANABRAZILBRUNEIBULGARIABURKINA FASOBURUNDICABO VERDECAMBODIACAMEROONCENTRAL AFRICAN REPUBLICCHADCHILECHINACOLOMBIACOMOROSCONGO, DEMOCRATIC REPUBLIC OF THECOSTA RICACÔTE D'IVOIRECROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFEDERATED STATES OF MICRONESIAFIJIFINLANDFRANCEGABONGAMBIA, THEGEORGIAGERMANYGHANAGREECEGRENADAGUATEMALAGUINEAGUINEA-BISSAUGUYANAHAITIHONDURASHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELANDISRAELITALYJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATIKOSOVOKUWAITKYRGYZSTANLAOSLATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACEDONIAMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMAURITANIAMAURITIUSMEXICOMOLDOVAMONACOMONGOLIAMONTENEGROMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNEW ZEALANDNICARAGUANIGERNIGERIANORTH KOREANORWAYOMANPAKISTANPALAUPALESTINEPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPOLANDPORTUGALQATARREPUBLIC OF THE CONGOROMANIARUSSIARWANDASAINT KITTS & NEVISSAINT LUCIASAINT VINCENT & THE GRENADINESSAMOASAN MARINOSÃO TOMÉ & PRÍNCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH KOREASOUTH SUDANSPAINSRI LANKASUDANSURINAMESWAZILANDSWEDENSWITZERLANDSYRIATAJIKISTANTANZANIATHAILANDTIMOR-LESTETOGOTONGATRINIDAD & TOBAGOTUNISIATURKEYTURKMENISTANTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMURUGUAYUZBEKISTANVANUATUVATICAN CITYVENEZUELAVIETNAMYEMENZAMBIAZIMBABWE

Site Contact Name

Site Contact#

Site Contact Email

Reason for Claim

Reason Category*
Damage (Concealed)Damage (Freight)Missing/Wrong ItemWarrantyWorkmanship

Replacement Parts Needed

Claim Item#1

Part#*

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

Claim Item#5

Part#

Description

Qty

Colour

Issue

Freight Delivery
Was the damage confirmed by signing the bill of lading? (Applicable to freight damage only)
No / NonYes / Oui

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.

Send me a copy of my responses

Email address

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