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 Warranty Reference Number
Have your own claim number in your system? Add it here for easy cross reference.
Dealer Business Name
Dealer Contact

First NameLast Name
Dealer Email
example@example.com
Dealer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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.Format: (000) 000-0000.
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
2 digit month, 2 digit day, 4 digit yearDate
Carrier Make
Carrier Model
Carrier Year
Estimated Hours of Use
Delivery Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Failure Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Repair Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Failure Information
Please describe failure and resolution
Please include pictures and any other applicable documentation

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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
Disposition
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
Approved Labor Coverage Percentage
Select the percentage of coverage we will credit for labor
Total Labor Approved (auto calculated)
Type of Credit
Total Freight Approved
Total Claim Approved (auto calculated)
Disposition Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate 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
File Upload

Cancelof
Credit Memo to Dealer

MonthDayYear
2 digit month, 2 digit day, 4 digit yearRammer to Dealer
Comments
Should be Empty:

Warranty Claim Form

Dealer Information

Customer Information

Product Information

Failure Information

Part Information

Labor Information

Internal Only