Lifetime Workmanship Warranty Claim Form

CSR intake form for collision repair customers to submit a lifetime workmanship warranty claim and route it to the responsible department for review, documentation, and follow-up.

Submission Notice

• Submitter Name
  Name of the customer or CSR submitting the claim.
• Submitter Role
• Contact Email
  Used only for claim follow-up and status updates.
• Contact Phone
  Optional alternate contact method.
• Consent to use submitted information for warranty review and follow-up
  Required consent for processing this claim.

Repair Order and Vehicle Identification

• Repair Order Number
  Enter the original repair order number or invoice number.
• Repair Completion Date
  Date the original repair was completed.
• Vehicle Year
• Vehicle Make
• Vehicle Model
• VIN Last 8 Characters
  Optional. Use only the last 8 characters to minimize PII.

Warranty Claim Details

• Claim Type
• Describe the workmanship concern
  Provide a clear description of the issue, when it was first noticed, and what area of the repair is affected.
• When was the issue first noticed?
• Is the issue safety-related or does it affect vehicle operation?
• Describe the safety or drivability impact
• Preferred Department
  Used to route the claim to the responsible team.

Supporting Documentation

• Supporting Photos
  Upload photos showing the concern from multiple angles.
• Repair Invoice or Final RO
  Optional copy of the original repair invoice or final repair order.
• Additional Notes
  Add any other information that will help the responsible department review the claim.