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Repair Warranty Claim Form (PDF Download Available)
Repair Warranty Claim Form PDF file
Link:
Download/Print
Name
E-mail
Customer Information - Name
Date of Claim: (DD/MM/YYYY)
Phone
Claim Form Number
Repair Service Information - Receipt Number
Date of Repair: (DD/MM/YYYY)
Brand / Model
Serial / IMEI Number
Repair Ineffective
Defective Parts
Others (please specify):
Type of Claim
*If you choose other:
Issue Description
Initial Review - Received By:
Outlet:
Valid
Not Valid
Warranty Eligibility Check
Reason (if not valid)
No
Yes *If yes specify part(s):
Corrective Action - Parts Replaced
*If yes, specify part(s):
Perfomed By
Date Completed: (DD/MM/YYYY)
Yes
No
Customer Confirmation - Issue Resolved to Customer Satisfaction
Customer's Signature
Date: (DD/MM/YYYY)
For Internal Use Only - Investigated By
For Internal Use Only - Date of Investigation (DD/MM/YYYY)
For Internal Use Only - Findings and Root Cause Analysis
For Internal Use Only - Preventive Actions to Avoid Recurrence
For Internal Use Only - Implemented By
For Internal Use Only - Date Implemented (DD/MM/YYYY)
For Internal Use Only - Reviewed By
For Internal Use Only - Date Reviewd (DD/MM/YYYY)
For Internal Use Only - Closure - Date Claim Closed (DD/MM/YYYY)
For Internal Use Only - Time Taken (in days)
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