SENECA POWER GENERATION Warranty Claim. 25 Gifford St., Nepean, ON K2E 7S3. This claim is subject to rejection if not received within 30 days from date of repair (45 days for International). No credit will be issued unless this form is filled out in accordance to SENECA POWER GENERATION Warranty Policies & Procedures.

DATE: 03/01/02	UNIT SERIAL NUMBER:	CLAIM NUMBER:

AUTHORIZED SENECA SERVICE CENTER:

COMPANY NAME:

ADDRESS: CITY:	PROV/STATE: POSTAL/ZIP: PHONE NUMBER (include area code):

OWNER INFORMATION

NAME:	ADDRESS:

CITY: PROV/STATE: POSTAL/ZIP:

UNIT INFORMATION

MODEL#: HOURS ON UNIT: ENGINE MODEL#: ENGINE SERIAL#:

IN-SERVICE DATE: REPAIR DATE: FAILURE DATE:

CHECK THE APPLICATION TYPE UNDER THE APPROPRIATE MARKET:

INDUSTRIAL	CONSUMER MOBILE	MARINE	ATS	SWITCHGEAR	RESIDENTIAL	UPS	AFTER MARKET

Stock	Stock	Stock	Stock	Stock	COMMERCIAL	Stock	SERVICE PARTS

Standby	Private Home Owner	Pleasure Craft	Standby	Standby	Stock	Standby	Repair Parts

Prime	Comm/Ind	Comm/Ind	Mobile	Prime	Home Standby

Mobile	Marathon	Rental

Rental

TRAVEL TIME	:	MILEAGE: MISC LABOR:	TOTAL LABOR HOURS (not including travel time):

MISC PARTS $(copy of vendor’s invoice required): FREIGHT CHARGES(copy of freight bill required):

PRIMARY FAILED PART NUMBER:	FAILURE CODE:

QTY	PART NUMBER	DESCRIPTION	FLAT RATE HOURS	ACTUAL HOURS

COMPLAINT

CAUSE

CORRECTION

Version 1 – June 2010

Seneca Power Generation - Warranty Claim

Seneca

2010-05-17

david

Kohler Co.