TEMSA Warranty Claim Form
Source
Please Select
Customer
Temsa CSR
Temsa Service Provider
Please fill out this section if you are a Temsa CSR or Temsa Service Provider
Temsa CSR or Service Provider Name
Please fill out if you are a Temsa CSR or Service Provider
Temsa CSR / Service Provider Email
example@example.com
Customer Contact Information
Account Number
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle Information
Model
*
TS30
TS35
TS45
TS45 EV
VIN#
*
Mileage
*
Warranty Information
Notice:
CLAIM MUST BE SUBMITTED WITHIN 30 DAYS OF FAILURE OR THE CLAIM WILL BE AUTOMATICALLY REJECTED. Please consult the Temsa Warranty Manual for warranty coverage provisions. Free shipping is included for 2nd day air requests and for ground shipping only. Next Day shipping requests will be charged to the customer's parts account or must be paid with credit card. To contact a warranty administrator, call 1.833.628.3672 (ext.114)
Complaint
*
File Upload for the complaint
*
Browse Files
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of
Component Part and Serial Number (if any)
Date of Compaint
*
-
Month
-
Day
Year
Date
Bus Down due to Problem?
*
Yes
No
Cause (if known)
Correction (if any)
Request / Comments
*
Requested Parts (if any)
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Feedback
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Please let us have your feedback about Temsa Team and our Services :
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How likely are you to recommend us to a friend or colleague?
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Best
5
1 is Worst, 5 is Best
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In Service Date
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Month
-
Day
Year
Date
Claim Total $
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