LiftPod by JLG
LiftPod Warranty Application Form * = Required
Claim Type
Check One * :
If Safety/Service Publication Provide ID:
Safety/Service Publication:
Owner Information
Contact:
Company Name: Email Address * :
Contact First Name * : Phone Number * :
Contact Last Name * :
Address:
Address Line 1 * : Country * :
Address Line 2: City * :
Address Line 3: State/Providence * :
Postal Code:
Shipping Information
Contact:
Company Name: Email Address * :
Contact First Name * : Phone Number * :
Contact Last Name * :
Address:
Address Line 1 * : Country * :
Address Line 2: City * :
Address Line 3: State/Providence * :
Postal Code:
Claim Details
Select (1) Component and Enter Serial Number * :
Serial Number:
Provide Details about the Cause for Replacement or Repair:
Cause for Replacement or Repair * : Date of Failure * :
Reference Number:
Part Information
Please refer to your LiftPod Operation, Safety, Service and Maintenance Manual or Safety/Service Campaign Publication for replacement kits. See Section 6, Service and Maintenance.
Enter Quantity of Part and Part Number needed for Repair:
QtyPart #QtyPart #QtyPart #

*********By submitting this warranty request, Customer agrees to arrange for and confirm the destruction of any original component replaced under this warranty and take reasonable steps to ensure any such component is not returned to service or used for any purpose.
 
I CONSENT TO JLG COLLECTING AND PROCESSING MY DETAILS IN ACCORDANCE WITH ITS PRIVACY POLICY.
 
 
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