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Extended Warranty Claim Procedure (Sample from Premium Area)
Note: Create separate invoice as soon as warranty becomes a possibility
Note: Take photos of repair area before starting, and photo of odometer
TSB’S or Recalls possibly related _________________________________________
Customer
___________________________________________________________Vehicle year __________ Make _______________
Model _________________VIN _________________________________________________________________
Miles _______________________ Policy/contract #
_______________________Other _________________________________________________________________
Warranty Company _____________________________________________________
Adjuster name ___________________ Phone / ext. _____________________________
Email _________________________________________________________________
Other _________________________________________________________________
Inspector name ___________________ Phone / ext. _____________________________Email _________________________________________________________________
Other _________________________________________________________________
Coverage
Covered parts and labor_________________________________________________
Not covered parts and labor ______________________________________________
Testing coverage _______________________________________________________
Parts requirements _____________________________________________________
Deductible___________________________________________________
Payment method/procedure _______________________________________________
Other _________________________________________________________________
Warranty on replacement part – Vendor _______________________________________
Name _______________ Phone / ext. __________ Email _______________________
Time _______________ Miles _______________ Labor rate ______________________
Verified part works functions well / runs good? _________________________________
Authorization # __________________________________________________________
Parts $________ Labor $________ Sales tax $________ Total $ __________________
Rental car coverage ______________________________________________________
Other __________________________________________________________________
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