Challenger Warranty Claim Form

"*" indicates required fields

Dealer Name*

Dealer Phone*

Dealer Contact*

Dealer Email*

Customer Name*

Customer Phone*

Address*

Street Address Address Line 2 City State Zip

Item Number*

Date of Purchase*

Serial Number

(Found inside right door internal cabinet wall.)

Unit Description Including Finish

Describe Complaint / Manufacturer Defect*

Photo(s) of the Overall Unit*

(JPG Preferred)

Drop files here or

Max. file size: 500 MB.

Photo(s) of the Defect*

(JPG Preferred)

Drop files here or

Max. file size: 500 MB.

Hidden

Photo of the Overall Unit (old)*

(JPG Preferred)

Max. file size: 500 MB.

Hidden

Photo of the Defect (old)*

(JPG Preferred)

Max. file size: 500 MB.

Shipping Damage

(Freight Documents Must be Submitted with Photos)

Visible

Concealed*

*Concealed damage claims must be submitted within 48 hours of delivery receipt.

Noted on Shipping Documents?

Yes

Carrier

Additional Supporting Comments

Challenger Designs