Warranty Report


Date: Date and timeNow
Dealer/Fleet Information
Dealer / Fleet Name:	Dealer / Fleet Address:	Dealer / Fleet City:	Dealer / Fleet State:
Dealer / Fleet Zip:	Contact:	Phone Number: () -Second partThird part	Fax Number: () -Second partThird part
E-mail:	Customer:
Trailer Information
Trailer Make (OEM):	Trailer Serial Number:	Date of Manufacture: Date and time	Date in Service: Date and time
Trailer Type / Vocation:	Is Trailer in shop? NoYes	Date of Failure: Date and time
Description of Problem:
Suspension Indentification Tag Information
Model Number:	Suspension Description:	Suspension Serial Number:	Specific question for technical services/ warranty department:
Estimate of repairs per trailer (warranties only)
Labor Description:	Labor Rate (example: $40 per hour):	Estimated hours per trailer (standard repair times apply, see pages 4-6 in L583 Comprehensive Warranty):
Parts Description:	Part Cost per Trailer:	Total Cost per Trailer:	Freight cost to return parts:
Response to information submitted after 3:00 pm eastern time will be on the following business day.