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Dealer Warranty Reimbursement Claim Form
Dealer Name
Dealer Person Responsible:
Phone Number
End Customer Owner
Model Of Machine Repaired
Serial Number of Machine Repaired
Date of original purchase
Month
/
Day
/
Year
BA claim enquiry number
Fault description
Work carried out to fix
Photos of product faults/faulty parts, before/during/after repair
BA Parts Used
List part number, description, and dealer price
Labour
Note:
BA warranty policy excludes travel time and machine transportation costs. Warranty labour rate is capped at max $100/hr
Total invoice value
Attached invoice
Submit