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WARRANTY

WARRANTY CLAIM FORM

Please make a copy of this form and return along with part and invoice. Also include

any related damaged parts (if applicable) in the best interest of addressing your claim

quickly, please complete as much of the information below as possible. Please contact

Customer Service for an RGA number at 866-301-0431.

RGA #

Person Submitting Form:

Company:

Contact Number:

REASON FOR RETURN:

Please provide as much detail as possible so that we can solve your claim quickly and,

if necessary, improve the product in the future:

Part Number(s):

Description(s):

Invoice Number(s):

Date(s) of Purchase:

Does this claim involve labor?* Yes

No

Date

*If a labor claim is included, please include a list of all part numbers required for repair, the shop labor

rate, the estimated time for repair and any related invoicing/estimates.

NOTE: Please retain tracking information and insure the shipment. EMP will

not be held responsible for lost shipments.

EMP Warranty Claim Form. Revised Jan 2016. © 2016, Engineered Marine Products.