Follow the steps to successfully complete the warranty form.

1. Click the ‘Get Form’ button to access the form and open it in your online editor.
2. Fill in the date of the claim at the top of the form in the designated field.
3. Enter your account number next to the ‘ACCOUNT#’ field.
4. Provide the customer's name in the ‘CUST.NAME’ field.
5. Complete the address section with your street address, phone number, city, state, and zip code.
6. Fill in the contact name for the claim in the ‘CONTACT NAME’ field.
7. Indicate the make and model of the machine or truck in the respective fields.
8. Input the serial number in the ‘S/N’ field.
9. Detail the failed part number and serial number in the provided fields.
10. Record the date the original part was installed and the date the replacement part was installed.
11. Include the original invoice number and the replacement invoice number.
12. Provide the mileage and hours associated with both the original and replacement parts.
13. If applicable, fill in the authorization number for steering gear-related claims, and provide details of the engine model and serial number.
14. Describe the failure in detail in the provided text area. This section is required for the claim process.
15. Sign and date the form at the bottom where indicated.
16. After reviewing your completed form, save changes, and choose to download, print, or share the form as needed.

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