Warranty Claim Form

Warranty Claim Form
Please submit claim, with all parts and labor, after the repair has been done.

Sandvik requires copies of all freight bills, misc invoices, mileage breakdown, labor breakdown, work orders, and any other documentation supportive of the claim.

Warranty does not cover general maintenance, abuse, wear items, paint, problems caused by using non Sandvik/Rammer parts, damaged/lost/stolen property, Acts of God, lodging, or other incidental costs incurred.

Please provide pictures of any damaged and/or replaced items.

Hold onto all parts in question until a disposition and resolution is reached as parts may be requested to be sent in for review prior to approval.

See warranty documentation for complete coverage.
Dealer Information

Please provide your information
Dealer Business Name
Dealer Contact

First NameLast Name
Dealer Email
example@example.com
Dealer Phone Number
Please enter a valid phone number.
Dealer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Customer Information

Please provide information on the end-user/owner operator
Customer Business Name
If applicable
Customer Contact

First NameLast Name
Customer Email
example@example.com
Customer Phone Number
Please enter a valid phone number.
Customer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Product Information

Please provide information on the unit, dates, parts, etc
Model
Serial Number*
Please enter serial number of the unit
Invoice Number
Invoice Date

MonthDayYear
Date
Carrier Make*
Carrier Model*
Carrier Year
Estimated Hours of Use*
Delivery Date*

MonthDayYear
Date
Failure Date*

MonthDayYear
Date
Repair Date*

MonthDayYear
Date
Failure Information
Please describe failure and resolution*
Please include pictures and any other applicable documentation

Cancelof
Part Information

Please enter Dealer Net Price as total per row
Parts*
Total Parts Request*
Please provide the total amount in dollars you are requesting to be credited
Labor Information

Please submit your total hours requested and hourly labor rate
Labor Hours*
Labor Rate*
Internal Only
Case Status
Total Parts Request (auto calculated)
Total Labor Request (auto calculated)
$
Freight Request
Review attachments and comments for freight requests
Total Claim Request (auto calculated)
Total Parts Approved
$
Total Labor Hours Approved
Total Labor Approved (auto calculated)
Total Freight Approved
Total Claim Approved (auto calculated)
Disposition Date

MonthDayYear
Date at which claim was dispositioned (approved, denied, etc)
Portal CLM Case Number
This will be our case within Lahti portal for our credit
Credit Amount from Lahti
Lahti to Rammer (at Rammer's cost)
Credit Memo Number from Lahti
Lahti to Rammer
Credit Memo Number to Dealer
Rammer to Dealer
Credit Amount to Dealer
Ramer to Dealer
Credit Memo to Dealer

MonthDayYear
Rammer to Dealer
Comments
Should be Empty:

Warranty Claim Form

Dealer Information

Customer Information

Product Information

Failure Information

Part Information

Labor Information

Internal Only