Automatic Transmission warranty Claim Form
Please fill out the form and fax to 770-888-1499. Thank you for your cooperation.
|
Order Number |
Claim Number |
Customer Name |
|
Transmission Type # |
Vehicle ID # |
Model # |
| Decision to replace transmission was made by : |
Date of claim |
warranty Claim# |
| Can the complaint be verified ? |
City, State & Zip |
Your Phone# |
| Yes No | ||
| Please provide a detailed description of your complaint: yes/No answers | ||
|
Fail safe mode-- Noise |
incorrect Oil level Oil leak |
locked in Gear Shift problems |
|
Noise |
Oil leaks |
Shift problems |
|
Park Drive In gear Rattle Whine Neutral Drive only
|
Broken Case Torque Converter Front seal rear seal Oil Pan Shift Selector electric connector |
P-D up shift D-4 up shift 3-4 up shift 4-5 up shift 5-4 downshift 4-3 downshift 3-2 downshift 2-1 downshift N-R shift |
| condition occurs: when hot Always when cold intermitten | ||
| Vehicle mileage Date of Failure | ||
| Your comments to the Complaint: | ||
| Signature Date | ||
| Note: Form must be filled out. No warranty will be accepted without this warranty Claim Form | ||
|
Eurotrans |
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