EmailMeForm
Shadow Warranty Claim Form
Customer Name
*
First
Last
If dealer owned and not sold, type NA in both fields
Customer Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
If not sold, use dealer's address.
Primary Phone
*
###
-
###
-
####
Primary Phone Type
*
Home
Work
Cell
Secondary Phone
###
-
###
-
####
Secondary Phone Type
Home
Work
Cell
Email
*
Confirm Email
Trailer Model # or Description
*
Example:
7165S-3SL-GN or 720-4SL-GN-9'LQ
or
3 horse slant load gooseneck or 2 horse straight load bumper pull
VIN
*
Your Vehilcle Identification Number is on a tag located toward the front of your trailer.
Confirm VIN
DEALER Purchased From
*
or name of dealer that owns the unit, if not sold.
Date Purchased
*
MM
/
YYYY
If not sold, use today's date.
Please provide a detailed description of problem or concern
*
Please choose one of the following
I have a preferred repair facility
My trailer is currently at a repair facility
I am a service writer or technician submitting a claim on behalf of the trailer owner
I need to find a repair facility
Repair Facility Name
Repair Facility Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Repair Facility Phone
###
-
###
-
####
Repair Facility Contact / Service Writer
Shop Hourly Labor Rate
Upload all photos and/or documents
Add File
Click "Add File" and upload any photos you have of the item in question to be warrantied. You may also upload a document or repair estimate here.
All warranties must be authorized before repairs are made. Payments will not be made without prior authorization. Payment are made directly to repair facility only.
Signature
*
Clear
Warranty Claim #
