Warranty claim to be submitted within 20 days from date of repair.

Completed claim form to be emailed to, Warranty Manager at

TransDiesel Ltd. Email – kohlerpetwarranty@transdiesel.co.nz
2 WORKSHOP JOB NUMBER.
WARRANTY CLAIM REQUEST

PLEASE TYPE OR PRINT CLEARLY  For 4 REPAIRS PERFORMED BY □ CD □ SD DEALER

1 TYPE OF CLAIM (CHECK ONLY ONE) Firms Name:

Warranty Repair New Defective Parts Service Kohler Address:

Policy Adjustment Questionable/Disputed City: State:

Phone: Zip Code:

3 OWNER’S LAST NAME COMMERCIAL USER
Signed:
FIRST MI
Purchased Date Failure Date Repair Date
ADDRESS
Day. Mo. Yr. Day. Mo. Yr. Day. Mo. Yr.
.
CITY
6 HOURS USED 7 UNIT ORIGINALLY SOLD BY
PHONE:

Customer Signature:

5 Engine/Transmission Spec No. D.O.M. or Serial No. FAILURE SUFFIXES

Short Block/Model No.

AW- Assembled Wrong FM- Foreign Material SD-Shipping Damage

Equipment Manufacturer Type of Equipment Engine Received BC- Broken/Cracked IF – Improper Fit SG – Scored/Galled
BL – Blown LK – Leaked SS – Stuck/Seized
BT – Bent/Twisted MI – Missing ST – Stripped
8 CD – Porous/Casting ML – Magnet Loose UO – Unknown/Other
PARTS HAVE BEEN Deficiency NS – Not Sealing VC – Valve/Clearance
Returned to Factory Returned to Central Retained & Tagged CL – Came Loose/OFF NY – Noisy WN- Worn
CP – Corroded/Pitted OA – Out of Adjustment WP - Warped
9 DEFECTIVE PART NUMBER 10 FAILURE SUFFIX EF – Electric Failure PM – Part Made/
Machined incorrectly

11 Customers Complaint & Probable Cause of Failure (Word “Defective” Not Sufficient)

12 Work Performed. If Necessary to Remove & Replace (R&R) Engine from Equipment, then Show R&R Separately.

13 Miscellaneous Dollars Cents 16 Part Number Qty. Description

Freight/Postage
Allowance
Attached Freight Bill

14 Labour Hrs. MINS./TENTHS JOB#

Repair 1
Repair 2
Repair 3
Misc. Labour
R&R
TOTAL .
15 TRANSDIESEL LTD USE ONLY
OEM Code
17 Engine/Short Block/Transmission (Authorized Signature Req’d)
Defect Code #
Authorized By:
Reference Code #
Firms Name:
AFA #

NOTE: Claims submitted after 20 days will be rejected due to restricted claim entry period for Kohler Italy.
Dealers will be notified when their claim has been submitted via email confirmation.