FAULTY ITEM CLAIM FORM

The form below must be completed by the distributor who has purchased the products from DAB PUMPS UK (including Southern Ireland claims). We require as much information as possible to correctly handle your claim, specifically the data plate label on the product (s) and the original invoice.

Please complete all fields below, then press the submit button at the bottom of the page. We will endeavour to reply within 24 hours.

FAULTY ITEM CLAIM FORM

Distributor Name:

Contact Name:

Branch (If Applicable):

Email:

Phone:

Your Own Reference:

Date:

Error Code / Description of Fault:

Your Original DAB Invoice Number:

Fault: (please select an option)

Upload a video of the fault:

Upload File

Additional Notes (include delivery address if different from branch address):

Upload Photo of pump data plate:

Upload File

Upload photo of complete pump:

Upload File

Upload a copy of your own paperwork:

Upload File

Warranty 1:

Request for Warranty Replacement

Warranty 2:

Request to return item for Inspection. Please send me an official returns number reference.

Chargeable Repair Request:

I would like to send my faulty item back and receive a quotation for repair. Please send me an official returns number reference.

*Once we have received your completed form above.

We will evaluate your claim in full and write back to you with our conclusion.

FAULTY ITEM CLAIM FORM

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