WARRANTY CONSIDERATION FORM
Service Center Name Customer Name *
Address
King-Dome
®
Serial Number *
(located on base of King-Dome
or on cover of Owner’s Manual)
Date of Original Purchase or Installation *
Phone No. Make, Model and Year of Vehicle
Name and Title of person working on King-Dome
®
Phone Log Number
11200 Hampshire Ave. So.
Bloomington, MN 55438
www.kingcontrols.com
Phone (952) 922-6889
(800) 982-9920
Fax (952) 922-8424
King-Dome
®
Service Order Number *
Repair Date(s)
Total Labor Time (Hours)_________
@ Hourly Rate of _______________
Return Shipping Charges
(Ground Only)
Description of Failure and Work Performed _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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The following paperwork must be sent to King Controls for warranty reimbursement
consideration:
1) Warranty Consideration Form with Service Order Number
2) Copy of Work Order
3) Proof of Purchase (Sales receipt or verification of in-service date)
Note: If returning defective part, please include with paperwork. Warranty Labor Claim will not be processed until
part is returned.
* REQUIRED
TM
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