Instructions
Model Number: ______________
Serial Number: ______________
Hour Meter Reading:___________
Copies to: White - Wright Mfg. Inc. z Yellow - Distributor z Pink - Dealer z Gold - Owner
\\Server01\company\Marketing\Pagemaker\Product Specific Documents\Stander\Stander Warranty.p65; revised 6/19/01
Warranty
Request
Customer / Owner Information
Dealer Information
Dealer's Name:________________________________
Address: _________________________________
City/State/Zip: _________________________________
Contact Name:_________________________________
Phone: ( ) ________________________________
Fax: ( ) ________________________________
Email: ______________________________________
Distributor Name:_______________________________
Owner's Name: _________________________________
Company (if appl.):________________________________
Address: ___________________________________
City/State/Zip: ___________________________________
Contact Name: ___________________________________
Phone: ( ) _________________________________
Fax: ( ) _________________________________
Email: ________________________________________
Owner signature Date
Dealer signature Date
This is a: (check one)
Repair part warranty request
Whole goods warranty request
1. Verify that the part is covered by the warranty and that it is a valid claim. (See the
original warranty statement and WMI Warranty Policy and Procedures.)
2. Verify that the mower is registered. Contact your Wright Distributor if you have
questions regarding a mower registration. Only registered mowers are eligible for
warranty.
3. Completely fill out this form,
including Owner and Dealer signatures.
Note: Claims are not valid without signatures, model and serial numbers.
4. Give gold copy of this form to customer; dealer keeps pink copy.
5. Submit the remaining copies of this claim to your distributor within 30 days of the
repair.
6. Please contact your distributor if you have any questions regarding this claim.
CLAIM #
What part failed or caused the failure:
Part Number:____________________Description:___________________________________________________
Describe the failure and correction performed:______________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________
/ /
/ /
$
hrs.
$
$
$
/ /
#
LABOR REQUESTED $________________________ X __________ . _________ =$_____________________
LABOR RATE HOURS TENTHS LABOR REQUESTED
PARTS USED FOR REPAIR
QTY PART NUMBER DESCRIPTION
Date Sold:________________________
Date Brought in for Repair:____________
Date of Repair:_____________________
Shaded Area for WMI Only
Date Request Received
Date Request Processed
Registered Labor Rate
Labor Hours Approved
Labor Credit Approved
Parts Credit Approved
Total Credit Approved
Date Credited Distributor
WMI Credit Memo Number
2
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