COX Mowers Australia

Claim Type

Claim Type (required)

Equipment

Equipment Type (required
Cutter Width

Model Number (required)
Type Number (required)
Serial Number (required)

Owner Details

Owner's First Name (required)

Owner's Last Name (required)

Phone Number

Email

Street Address (required)

Suburb/Town (required)

State (required)

Postcode (required)

Sold By

Name of store that sold item (required)

Email

Phone Number

Street Address

Suburb/Town

State

Postcode

Repairer Details

Name of firm that repaired item (required)

Email (required)

Phone Number (required)

Street Address (required)

Suburb/Town (required)

State (required)

Postcode (required)

Dates

Purchase Date (required)

Failure Date (required)

Repair Date (required)

Usage

Total Hours of Use

Type of Use (required)

Parts

Parts (required)

Defective Codes

Defective Code 1 (required)

Defective Code 2

Defective Code 3

Details

Conditions Found (required) - Please Note that the word "defective" is not sufficent detail

Probable Cause of Failure (required)

Flat Rate Codes

Time spent on warranty repairs is billed at a flat rate. Please view the Warranty Flat Rate Schedule in order to complete the section below.

Flat Rate Code 1

Hours

Flat Rate Code 2

Hours

Flat Rate Code 3

Hours

Parts Replaced

Please view the Spare Parts List in order to complete the section below.

Quantity

Part Number

Description

Invoice Number

I hereby certify that these warranty repairs have been effected only with manufacturers genuine parts.

Test

Claim Type

Equipment

Owner Details

Sold By

Repairer Details

Dates

Usage

Parts

Defective Codes

Details

Flat Rate Codes

Parts Replaced