Request For Warranty Coverage

Vehicle Information

Year:	Make:	Model:
GVWR:	Vin:
Zoresco® Production Date: (yellow sticker on door jamb)
Type of equipment needing repairs: (i.e. service body, compartment door, dump body, lights, etc.)

Customer Information

Customer(Company):
Contact:
Phone Number:			Fax Number:
Direct Email:

Description of Defect/Problem

Defect or Problem:
Cause (if known):
Describe the necessary corrective action being proposed:

Estimate of labor hours needed:
@ Labor rate of:	$ per hour
Total for parts/materials:	$

Total amount requested:	$
Technical Assistance Requested?	Yes No

Note: This is not an authorization to proceed with repairs. Zoresco® will respond to all requests in a timely manner. Authorization will be indicated when a purchase order number is issued by Zoresco®. No invoices will be honored, bills paid or credit issued without a Zoresco® purchase Order.

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1-888-290-5538

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