Warranty Claim Form

Please complete the fields marked with * to make a claim. All personal information submitted to us will be treated with the strictest confidentiality and in accordance with our privacy policy. PART NO., SERIAL NO., and MFG. DATE are affixed to the exterior of the DPF or DOC.

MUST HAVE REGISTERED THE PART AT TIME OF INSTALL

Date Claim Submitted

Date of Part Failure Diagnosis

Warranty Claim Type:

Failed Diesel Particulate Filter (DPF) Failed Diesel Oxidation Filter (DOC)

How did you submit your warranty registration?

Failed Diesel Particulate Filter (DPF) Failed Diesel Oxidation Filter (DOC)

Distributor Name

Distributor Location

Distributor Contact Name

Distributor Email

Distributor Phone Number

End User Name:

Customer Contact Person:

End User Address:

Phone Number:

EXT:

Fax Number:

City:

State/Province:

Country:

Postal Code / Zip Code:

DuraFit DPF / DOCPart Number (E.G. C17-XXXX):

DuraFit DPF / DOC Serial Number (E.G. AM-XXXX):

Vehicle Odometer at Installation:

Vehicle Hour Meter at Installation:

Current Odometer:

Current Hour Meter:

DEFECT CODES & INFORMATION: Please Specify the Nature of the Defect Below. You will have an opportunity to upload Clear, Focused Photos of Labels, Inlet, Outlet, and Failed Areas of DPF / DOC before submitting this Claim.

Upload ORIGINAL WARRANTY REGISTRATION FORM

Upload COPY OF PURCHASE INVOICE

Upload Vehicle Repair Order Diagnosing the Failed Filter

Upload CLEAR, IN FOCUS, HI RES PHOTO of LABEL

Upload CLEAR, IN FOCUS, HI RES PHOTO of ENTIRE INLET FACE

Upload ADDITIONAL PHOTOS

Thank you for taking the time to make your claim, someone will contact you with regards.