Home  /  Scissor Lift Parts  / 

Service Parts Warranty Claim

Need warranty assistance? Please fill out the form below for prompt service.

Dealer Information

Date:

First Name:

Last Name:

Position/Title:

Company:

Account#:

Address:

City:

State:

Outside US and Canada:

Zip:

Country:

Phone:

Fax:

Email:

Customer (End User)

First Name:

Last Name:

Address:

City:

State:

Outside US and Canada:

Zip:

Country:

Phone:

Part Information

Part#:

Date Purchased from MinnPar:

Dealer Invoice#:

Dealer Invoice Date:

Date Sold to Customer:

Date Installed:

Date of Failure:

Customer Invoice#:

Claim Information

Dealer Cost Each Piece:

Defective Quantity:

Sub Total:

Freight For Part:

Total Requested:

Reason For Failure


Send