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Incident Report Form

Missing parts, warranty claim? Please use the ‘Incident Report Form’ for any problem regarding your conversion kit/ vehicle

Company information

Company name:

Please choose one of the options below:

Contact name:

Contact email:

Telephone:

Vehicle details

Identification number:

Mileage:

Description of issue/problem:

Please descibe your issue or problem

Upload photo's

Please upload pictures to identify the issue or problem:

Upload photo's

Warranty Registration Form

Please register your vehicle with the form below. This ensures maximum support should any problems arise in the future.

Company information

Company name

Please, choose one of the options below:

Contact name

Contact email

Telephone

Vehicles details:

Your reference/ Client's name:

Warranty contract number:

Vehicle make & type:

Identification number (VIN)

Mileage:

First registration date

Upload extra information

Please upload the customer signed warranty registration form’’

Please upload a front copy of the vehicle registration card’’

Please upload a back copy of the vehicle registration card’’

Important

This form is required to register your vehicle for warranty purposes. Registration of a new vehicle is required to start vehicle warranty. Unfortunately we are not able to process warranty requests on unregistered vehicles.

Note: In case of need, please call our office from Monday to Friday, from 07.30 to 16.30 phone: +31 (0)46 489 41 00

CONTACT

Incident Report Form

Warranty Registration Form

Important