WAP - HD Electrical - CARQUEST Auto Parts

Date:
RGA Number:
Contact Name:
Street Address:
8
Failure
WARRANTY CLAIM FORM
ELECTRICAL UNIT
7
Please send a copy of this document in the RETURN BOX WITH THE UNIT.
to do so may cause credit for the return to be delayed or not issued!
Invoice -or- Sales Order Number:
CONTACT INFORMATION - PLEASE PRINT
Distributor:
City/State/Zip:
Phone: Ext: Fax:
Email Address:
UNIT INFORMATION
Type of Unit: ALTERNATOR STARTER
Part Number:
Date Installed:
Type of Engine: DIESEL GASOLINE NATURAL GAS
Type of Vehicle: TRUCK CONSTRUCTION AG BUS
STARTER
REASON FOR RETURN - Please Select From the Options Below
Will Not Fit Engine Will Not Start Broken Studs or Contacts
Stays Engaged
Other:
Burned Out
GENERAL NOTE:
Starting motors claimed as warranty that fail due to a low voltage condition in the batteries will not be honored.
ALTERNATOR
Failed on Turn Overcharges Fails to Charge Once Installed
Burned Out
Other:
Broken Studs or Contacts
GENERAL NOTE:
Alternators claimed as warranty that fail due to cross wiring (causing improper polarization) will not be honored.
8
7
Please send a copy of this document in the RETURN BOX WITH THE UNIT.
Failure to do so may cause credit for the return to be delayed or not issued!
WARRANTY FORM 53