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WORK PERFORMED/COMMENTS ON REPAIR:
SHOP LABOR
RATE:
TOTAL LABOR HRS TO REPAIR:
SALSCO PART #: DESCRIPTION:
FILL IN ALL INFORMATION REQUESTED ON WARRANTY CLAIM FORM. INCOMPLETE FORMS CANNOT
BE PROCESSED & WILL BE RETURNED. LIST ALL PARTS USED. MAKE SURE PART NUMBERS ARE COR-
RECT. ANY PARTS THAT YOU BELIEVE TO BE DEFECTIVE OR ANY PARTS THAT BREAK SHOULD BE RE-
TAINED FOR POSSIBLE INSPECTION UNTIL AFTER THE WARRANTY HAS BEEN PAID OR PART HAS BEEN
RETURNED. INV. # NEEDS TO BE INCLUDED ON WARRANTY CLAIM.
OFFICE USE ONLY
DATE REC'D:
CUST ID:
SALSCO WC:
SALSCO RA:
DATE APPROVED:
DATE REJECTED:
O:\Manuals\8635TK CHIPPER\SPANISH\8635TK_TrackChipperManual_P.W.SPANISH.4.29.2020.doc
SALSCO WARRANTY CLAIM FORM - Continued
QTY
! 31
SUBMITTED BY:
PRINTED NAME:
PRICE EACH
TOTAL
DLR. DEL REPORT ON FILE:
WARRANTY CLAIM ON FILE:
PARTS TOTAL:
LABOR TOTAL:
TOTAL APPROVED:
REJECTED DATE:
INVOICE #:
YES
NO
YES
NO
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