Wheels, Systems, and Spare Parts Warranty

Dealer Information

Name

First Name

Last Name

Company Name

Phone

Email

End User

* This field is for whoever the claim item was sold too

RTS Territory Sales Rep

Address

Line 1

Optional Line 2

City

State/Province

Zip/Postal

Country

Original Invoice #

Replacement Track Invoice (if needed)

Machine Information

Make

Model

Machine Serial #

Machine Year

Current Machine Hours

System Information

System Model

LH Frame Serial #

RH Frame Serial #

Axle Serial #

Track System Hours

Description & History of the Failure:

Wheel & Spare Part Information

Part Number(s)

Quantity

Part Hours

Part Date Code (Cored Wheels)

Date of Purchase

Installation Date

Part Failure Date

Add Remove

Description & History of the Failure:

Upload Photo(s) & Documents

File Upload

Maximum file size: 516MB

Upload the files based off the requirements for wheels, system, or spare parts

All items listed below are required for your claim to be reviewed. Any missing information can cause your claim to be delayed.

● Invoice from Dealer to End User
● Whole Machine with any implements attached (If applicable)
● Whole Undercarriage of claimed part
● Causal Part Failure (Close Ups in Focus)
● Photo of Undercarriage or Axle Serial Number
● Photo of Serial Number

Disclaimer

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