Schedule Service / Authorization

Schedule Service / Authorization

  • LineQuantityParts Description (attach copy of parts invoice)Return Tag NumberDealer Cost 
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  • Brand NameModel NumberSerial Number 
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  • LineLabor DescriptionCauseCompliantCorrectionRepair CodeHoursAmount 
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  • Please Note: Sublet repairs will not be allowed without a copy of the sublet bill. * Claims must be returned with defective parts and copy of parts invoice. * Claims must have an authorization number when applicable. * Claims must be submitted 30 days from completion of repair.
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  • LaborPartsSubletTotal Payment 
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  • LaborPartsSubletTotal Payment 
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