Warranty Claim Form

To submit a warranty claim, please provide the following information:

(* indicates REQUIRED information)

Note: No claim will be honored without a clear, close-up photograph of the part for which the claim is submitted. Photos can be e-mailed to service@broaster.com.

Any claim for a part that fails while installed on a piece of equipment must include the serial number of the unit on which it was installed.

The final resolution of the claim is dependent upon the information on this form. If any information is lacking, the claim will not be processed until that information is provided. No credit will be issued for any part that fails due to accident, misuse, or mishandling.

Do not discard the part for at least one year in case the manufacturer of the part needs to have it returned to them.

Your First and Last Name*

Your Company Name*

Your Phone

Your Fax

Your Email Address*

Operator's Business Name*

Operator's Business Address Line 1*

Operator's Business Address Line 2

Operator's City*

Operator's State or Province*

Operator's Zip or Postal Code

Operator's Country*

Part Number of Failed Part*

Serial Number of Equipment (on which failed part was installed)*

Date Part Installed*

Date Part Removed*

Specific Reason for Claim:*
(Please provide full details regarding failure; describe symptoms if necessary)

Back to top of page Back to Home page