Warranty Claim - Horsch Australia

WARRANTY CLAIM

If the original Warranty Registration for this machine was NOT submitted to Muddy River, your claim will NOT be processed. If you have not submitted the Warranty Registration form to date, please attach a copy below.

Blank Form (#3)

Claim Number

Claim Date

Dealer Name

Dealer Address

Dealer Contact

Dealer Email

Technician Name

Customer Name

Customer Address

Machine Brand

Machine Model

Serial Number

Date Sold

If the original Warranty Registration for this machine was NOT submitted to Muddy River, your claim will NOT be processed. If you have not submitted the Warranty Registration form to date, please attach a copy below.

Estimated Ha/Hrs Used

Failure Date

Repair Date

Failure Description/Customer Complaint

Failure Type

Part Number that Caused Failure

Hydraulic Cylinder Serial Number

Choose File

Example Image

Hydraulic Motor Serial Number

Choose File

Example Image

Electrical Component Serial Number

Choose File

Example Image

Horsch Parts

Part Number	Part Description	Quantity	Cost (Excl. GST)	Total	MRA Inv.	Approved

Sublet Supplier

Sublet Supplier	Inventory Number	Description	Cost (Excl. GST)	Total	Approved

Sublet Total

Labor Rate (Fixed)

Labor Hours

Labor Total

Subtotal

GST

Total

Supporting Documents

Choose File

Supporting Images

Choose File

Horsch Parts

Sublet Supplier

Muddy River Agricultural reserves the right to request the Dealer to return damaged parts.