Warranty form
"
*
" indicates required fields
1
General
2
Order information
3
Parts overview
4
Overview
5
Photos
Information
Name
*
Firstname
Lastname
Phone number
*
Email address
*
Company information
Company name
*
Address
*
Street + house number
City
ZIP code
Brand + type
Engine code / Transmission code
*
Year of manufacture
*
Make your choice
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Customer claim number/ID
*
Invoice number
*
Installation / Extension details
Installation date
*
MM slash DD slash YYYY
Installation mileage
*
Date of removal of engine
*
MM slash DD slash YYYY
Removal mileage
*
What is the issue with the old engine/gearbox, and why was it replaced?
*
What is the complaint about the delivered engine/gearbox?
*
Distribution
*
Renewed
Transferred
Tested
Injectors
*
Renewed
Transferred
Tested
Catalytic converter
*
Renewed
Transferred
Tested
Turbo
*
Renewed
Transferred
Tested
Vacuum pump
*
Renewed
Transferred
Tested
Oil cooler
*
Renewed
Transferred
Tested
Overview
Have checks or repairs already been carried out? If yes what kind of checks?
*
Photos
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