Warranty Claim Authorization Form

Claim Information

Dealer Location Name *

Street Address *

Street Address Line 2

City *

State / Province / Region *

Zip Code *

Dealer Contact Name *

Dealer Contact Phone Number *

Dealer Contact Email Address *

Trailer or Body Owner

Company Name or Individual First Name *

Company Name or Individual Last Name *

Street Address *

Street Address Line 2

City *

State / Province / Region *

Zip Code *

Customer/Company Phone Number *

Customer/Company Email Address *

Complete VIN or Body Number *

Application *

Manufacture Date *

In Service Date *

Trailer or Body Information

Trailer Type *

Straight Truck

Dump

Frame Type

Frameless

Material *

Aluminum

Steel

Combo

Description of Repair / Concern (Please include any available photos with form) *

Submit photos here

Vendor Parts Information

Do you need to request replacement parts? *

Yes

Shipping Request *

Ship Parts to Dealer

Ship Parts to Customer

Vendor Name

Full Model Number

Full Serial Number

Vendor Name

Full Model Number

Full Serial Number

Part(s)#, Quantity Being Claimed, and Reason for Replacement (be sure to explain the fault)

	Part #	Qty	Reason for Replacement
1	Part #	Qty	Reason for Replacement
2	Part #	Qty	Reason for Replacement
3	Part #	Qty	Reason for Replacement
4	Part #	Qty	Reason for Replacement

Note: All fields required to be considered for review.

PARTS TO BE RETURNED MUST BE PREPAID UNLESS ADVISED OTHERWISE.

Trailstar Intl. - 20700 HARRISBURG WESTVILLE RD. ALLIANCE, OH 44601

330-821-9900 | warranty@trailstarintl.com