Warranty Claim – Third Coast Equipment

File Your Warranty Claim Below

"*" indicates required fields

Name*

First Last

Email*

Phone

Dealership Name*

Machine Model

Serial Number

Date of Failure

Warranty Claim Details*

Primary Failed Part*

Part Description

Part Quantity

Net Price Each

Extended Net Price

Please enter Net Price of $0.00 if part was supplied at no charge from 3CE.

Other Replacement Parts

Part Description

Part Quantity

Net Price Each

Extended Net Price

Please enter Net Price of $0.00 if part was supplied at no charge from 3CE.

Labor*

Shop Labor Rate

Labor Hours

Total Labor Amount

Total labor amount is the shop labor rate x total labor hours.

Total Warranty Claim Amount Requested*

Supporting Pictures / Documents

Drop files here or

Max. file size: 50 MB, Max. files: 4.

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