RECEIVED BY:_____

1555 S. CUCAMONGA AVE. ONTARIO, CA. 91761 PHONE: 909-923-0430 FAX: 909-923-2583

AMREP INC. WARRANTY REQUEST PROCEDURE

ALL REQUESTS MUST BE APPROVED PRIOR TO ANY WORK PERFORMED ON AMREP INC. EQUIPMENT

WARRANTY CLAIM#: _____157442_________

1. CONTACT AMREP INC. PARTS & SERVICE DEPARTMENT
A) ADRIENNE BERRYMAN (PRIMARY CONTACT)
B) JESSICA ARSENEAULT (SECONDARY CONTACT)

909-923-0430 EXT. 120

909-923-0430 EXT. 113

2. CLAIM INFORMATION
A) COMPANY NAME:

________Marin

B) ADDRESS:

_____1050

Sanitation Service

___________

ANDERSON DR. SAN RAFAEL CA, 94901_

_______________________________________________________________
C) CONTACT NAME:

______RALEIGH_____________________________________________

D) PHONE NUMBER:

_____415-458-5518__________________________________________

3. VEHICLE INFORMATION
A) CHASSIS MODEL & VIN:____AUTOCAR CAB

VIN #230840___________________________

B) BODY MODEL & SERIAL#:____ AMHASLTPO-14

___BODY SERIAL #__13238__________

4. PART FOR WARRANTY

__ _REPAIR ONLY

__ X _SEND REPLACEMENT

A) PART DESCRIPTION AND SERIAL#:_______________________________________

__ X _SEND SERVICE TECHNICIAN

INV#_____________ (IF APPLICABLE)

5. COMPLAINT INFORMATION (PLEASE BE AS DETAILED AS POSSIBLE)

_____________ARM_NOT_RETRACTING,_VALVE_CROSS_CATRIDGE_MALFUNCTION__________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
6. CUSTOMER SIGNATURE:

_____________________________________________________________

ALL REQUESTED WILL BE EVALUATED AND DETERMINED FOR WARRANTY. ALL WARRANTY WILL BE LIMITED TO AMREP INC. WARRANTY POLICY. FOR FURTHER
INFORMATION ON AMREP INC. WARRANTY POLICY PLEASE REFER TO CERTIFICATE PROVIDED WITH YOUR UNIT.

FOR AMREP INC. USE ONLY

WARRANTY

APPROVED___x____

REASON DENIED:

__________________________________________________________________________________________

DENIED______

__________________________________________________________________________________________
QTY OF LABOR HOURS APPROVED FOR WARRANTY:___6____
PARTS APPROVED FOR WARRANTY:_______________________________________________________________________________
WARRANTY APPROVED BY:___________________________

APPROVAL DATE:___________________________________