When navigating the intricacies of submitting a warranty claim for Delco Remy products, understanding the details outlined in the Delco Remy Warranty Form is crucial. This comprehensive form requires unique claim numbers for each submission, preventing the reuse of numbers and ensuring each claim's distinct identification. With sections dedicated to capturing exhaustive details about the customer or distributor, including company information and specific Remy account numbers, the form facilitates a meticulous record-keeping process. It also demands precise information about the failed part, encompassing everything from the part number and type to the vehicle's service dates and mileage. The form even specifies the type of warranty applicable—be it for original equipment, new service parts, or remanufactured items—and asks for a detailed account of the reason for repair or replacement, promoting a transparent assessment process. Furthermore, it outlines the expected claim amount, incorporating the cost of parts, any miscellaneous charges, and core reimbursement requests, with a notable allowance for handling. Significantly, it also addresses shipping details for returning the warranted unit, including a provision for the claimant to request the return of the unit if the claim is denied, provided shipping authorization is supplied. Such thorough documentation requirements underscore the form's role not only as a tool for making warranty claims but also as a mechanism to ensure accountability and traceability in the warranty process.
| Question | Answer |
|---|---|
| Form Name | Delco Remy Warranty Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | warranty registration form, acdelco warranty form, remy warranty form, delco remy warranty return form |
CLAIM NUMBER: |
CLAIM DATE: |
Must be unique to each claim. Cannot use same number more than once.
Date the claim is submitted.
The Warranty Claim Form must be completed, in full detail, for each warranted unit. One claim form should be submitted for each unit returned. A copy of each claim form, as well as a copy of the Bill of Lading, should be retained for your records.
REMY CUSTOMER / DISTRIBUTOR INFORMATION:
Your company information.
Account No:
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Your Remy Account Number |
Name: |
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Address: |
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City/State/Zip: |
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Country: |
Email: |
Telephone: |
Fax: |
FAILED PART INFORMATION:
Failed Part No: |
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Model/Series: |
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Serial Number: |
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Part number of the unit removed. |
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Type of unit (21SI, 42MT, etc.) |
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Example: 08B16 |
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Vehicle In Service Date: |
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Failure Date: |
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Date vehicle went into service |
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Date unit removed |
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Product In Service Date:
Date product went into service (if same as vehicle, enter "same")
Vehicle/Equipment Make: |
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VIN #: |
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Vehicle Identification Number |
Vehicle Mileage: |
Replacement Part Number: |
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Specify miles, kilometers, or hours and units |
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Part number of unit being installed |
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Warranty Type (Original Equipment, New Service, or Remanufactured):
REASON FOR REPAIR / REPLACEMENT:
Reason unit is being removed- PLEASE BE AS SPECIFIC AND DETAILED AS POSSIBLE
CLAIM AMOUNT:
Parts ($): |
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Misc Charges ($): |
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Remy invoice price of the replacement |
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Any additional charges expected. |
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part plus a 20% handling allowance. |
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Core Request ($):
Total amount for core reimbursement.
Total Claim Request ($):
Total amount expected for warranty claim.
Misc Charges Detail:
Explanation of miscellaneous charges.
Please check this box if the claim is denied and you would like to have the unit returned to you.
MUST PROVIDE SHIPPING AUTHORIZATION (shipper and account #)
FREIGHT & SHIPPING INFORMATION
Remy pays the freight for warranty returns incoming to the Reliability Center. Please use the following information when returning warranty units.
Freight |
UPS Account No. |
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Freight over 150 pounds: Contact ProTrans at |
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Remy Reman Reliability Center |
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Remy Reman Reliability Center |
P.O. Box 99 |
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214 Fellowship Road |
Taylorsville, MS 39168 |
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Taylorsville, MS 39168 |
Phone: (888) |
Phone: (888) |
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Fax: |
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Fax: |
email: warranty@remyinc.com |
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Send one copy to the Remy Reliability Center, one copy must be attached to the Warranty Unit, and retain one for your records.