Warranty performed by ⋆

Account Number *

Company Name *

Address *

Suburb *

State *

Postcode *

Phone *

Email Address *

Owner of machine ⋆

Engine Use *

Please note: Use may affect warranty length, please confirm machine use before placing a claim.

Name *

Address *

Suburb *

State *

Postcode *

Phone *

Petrol or Diesel Claim *

Engine model No *

Spec No or K-Number *

Engine Serial Number *

Please note: Petrol engines 10 digits, Diesel engines 7, 8 or 10 digits. Petrol Engine Serial Number can be found on the black plastic cowling / engine housing.

Type of Equipment *

Equipment Manufacturer *

Engine Received *

Hours Used

Units originally sold by *

Purchased Date *

Failure Date *

Repair Date *

Photo Of Engine ID Sticker/Plate *

The max file size is 2MB.

Supported format: JPG, JPEG, PNG, GIF, SVG, PDF.

temp-for-33980-file2-1_

Condition found/cause of failure *

Work Performed *

Freight postage cost *

Labour Cost

Hrs

Mins

Job #

Part numbers used to repair ⋆

Part Number *

Qty *

Description *

All parts must be purchased from EPG Engines to be a valid warranty claim. Unless written proof from an EPG member is provided

Tax Invoice Number: SLI *

Tax Invoice File

The max file size is 2MB.

(Please upload your original Tax Invoice as a PDF, JPG or GIF file.)

temp-for-33980-file2-2_

Warranty ID number

Authorisation No.

(only required for engines / short blocks)

Serial Number of New Engine

Thank you for submitting a claim with EPG engines.

If you have any inquiries, please call 1800 122 770 and ask to speak to the warranty department

Thank you for submitting a claim with EPG engines.

If you have any inquiries, please call 1800 122 770 and ask to speak to the warranty department

	EFI SOFTWARE		REHLKO PETROL
	REHLKO DIESEL		LOMBARDINI
	LOMBARDINI MARINE