EZ TRAC Warranty Claim Form

1. Contact Information for Warranty Service

📍 IMPORTANT:

Enter contact information for where the truck is located for service. This is where we'll ship parts and contact for warranty work.

Submitter Type: *

End User

Installer

Service Provider

TDS Employee

First Name: *

Last Name: *

Company: *

Street Address: *

City: *

State: *

Zip Code: *

Phone: *

Email: *

2. Product Information

VIN (minimum last 6 digits): *

Axle Serial (Label on front driver side of axle beam. 6 digit number starting with *): *

Project # (if known):

Mileage (If truck not in service, just estimate): *

Date of Issue: *

In Service Date (month/year):

3. Issue Type

What type of issue is this? *

Defective

Temp sensor not working, won't engage, etc.

Workmanship

Loose hoses, hoses rubbing, loose wiring

Installation

Wrong location, hoses not correct length, noisy

Missing Parts

Literally, something missing from the kit

4. Parts Needed

Do you need replacement parts? *

No

Yes

5. Labor Reimbursement

Do you need to be reimbursed for labor and misc parts? *

No

Yes - I have an estimate (using allowance guide)

Yes - Need to diagnose first

6. Service Provider

Who will perform the service? *

Self

TDS Only

3rd Party

No Preference

7. Additional Information

RMA Number (if already assigned):

Issue Description: *

Photo Upload (optional):

📸 Photos expedite the warranty process!

Invoice Upload (optional):

📄 Upload repair invoices, purchase receipts, or other documentation

Attempted Repairs (optional but helpful):

📋 Claim Summary

Form will be submitted to EZ TRAC warranty team

EZ TRAC Warranty Claim Form

1. Contact Information for Warranty Service

2. Product Information

3. Issue Type

4. Parts Needed

5. Labor Reimbursement

Labor Time Allowance - Select all that apply:

Other Labor Items:

Misc Parts & Shop Supplies:

6. Service Provider

7. Additional Information

📋 Claim Summary