WARRANTY CLAIM

Complete the details below to submit your warranty claim.

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Product Details

Model (e.g. Proline RMX 240)*

Serial No*

Dealer Reference*

Wessex Unique ID

Date Supplied to User*

Date of Failure*

Date of Repair*

Claim Date*

Contact Details

Dealer Contact Name*

Dealer Contact Phone*

Dealer Contact Email*

Dealer Business Name*

End User Business or Name*

Dealer Address*

Street Address Address Line 2 City County Post Code Country

End User Address*

Street Address Address Line 2 City County Post Code Country

Claim Details

Claim Description*

Details of how the fault arose & remedial action taken.

Wessex Contact*

Have you contacted Wessex reference this claim?

Yes

No

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Name of Wessex Contact

Wessex Parts

Part No	Quantity	Description	Sales Invoice Number (SIN)	ParentFormID	Actions

There are no Parts.

Labour Hours

Declaration*

I hereby declare that the information given above is true and accurate to the best of my knowledge.

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WARRANTY CLAIM

Product Details

Contact Details

Claim Details

Information

My Account

Our Location

WARRANTY CLAIM

Product Details

Contact Details

Claim Details

Information

My Account

Our Location

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