보증 양식 Home Current 1) Address 2) Service, Attachment, & Truck Info 3) Claim Info, Replaced Parts, & Work Info 4) Summary 5) File Attachments 6) Confirmation Dealer Address Dealer Address Country 가나가봉가이아나감비아건지과들루프과테말라괌그레나다그리스그린란드기니기니비사우나미비아나우루나이지리아남극 대륙남수단남아프리카네덜란드네덜란드령 카리브네팔노르웨이노퍽섬뉴질랜드뉴칼레도니아니우에니제르니카라과대만대한민국덴마크도미니카도미니카 공화국독일동티모르디에고 가르시아라오스라이베리아라트비아러시아레바논레소토레위니옹루마니아룩셈부르크르완다리비아리투아니아리히텐슈타인마다가스카르마르티니크마셜 제도마요트마카오(중국 특별행정구)말라위말레이시아말리맨섬멕시코모나코모로코모리셔스모리타니모잠비크몬테네그로몬트세라트몰도바몰디브몰타몽골미국미국령 버진아일랜드미국령 해외 제도미얀마미크로네시아바누아투바레인바베이도스바티칸 시국바하마방글라데시버뮤다베냉베네수엘라베트남벨기에벨라루스벨리즈보스니아 헤르체고비나보츠와나볼리비아부룬디부르키나파소부베섬부탄북마리아나제도북마케도니아북한불가리아브라질브루나이사모아사우디아라비아사우스조지아 사우스샌드위치 제도산마리노상투메 프린시페생마르탱생바르텔레미생피에르 미클롱서사하라세네갈세르비아세우타 및 멜리야세이셸세인트루시아세인트빈센트그레나딘세인트키츠 네비스세인트헬레나소말리아솔로몬 제도수단수리남스리랑카스발바르제도-얀마웬섬스웨덴스위스스페인슬로바키아슬로베니아시리아시에라리온신트마르턴싱가포르아랍에미리트아루바아르메니아아르헨티나아메리칸 사모아아이슬란드아이티아일랜드아제르바이잔아프가니스탄안도라알바니아알제리앙골라앤티가 바부다앵귈라어센션섬에리트리아에스와티니에스토니아에콰도르에티오피아엘살바도르영국영국령 버진아일랜드영국령 인도양 지역예멘오만오스트레일리아오스트리아온두라스올란드 제도왈리스-푸투나 제도요르단우간다우루과이우즈베키스탄우크라이나이라크이란이스라엘이집트이탈리아인도인도네시아일본자메이카잠비아저지적도 기니조지아중국중앙 아프리카 공화국지부티지브롤터짐바브웨차드체코칠레카나리아 제도카메룬카보베르데카자흐스탄카타르캄보디아캐나다케냐케이맨 제도코모로코소보코스타리카코코스 제도코트디부아르콜롬비아콩고-브라자빌콩고-킨샤사쿠바쿠웨이트쿡 제도퀴라소크로아티아크리스마스섬클리퍼턴섬키르기스스탄키리바시키프로스타지키스탄탄자니아태국터크스 케이커스 제도토고토켈라우통가투르크메니스탄투발루튀니지튀르키예트리니다드 토바고트리스탄다쿠나파나마파라과이파키스탄파푸아뉴기니팔라우팔레스타인 지구페로 제도페루포르투갈포클랜드 제도폴란드푸에르토리코프랑스프랑스령 기아나프랑스령 남방 지역프랑스령 폴리네시아피지핀란드필리핀핏케언 제도허드 맥도널드 제도헝가리홍콩(중국 특별행정구) First name Last name Organization Street address Street address line 2 Street address line 3 City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Phone: E-Mail: End User End User Address Country 가나가봉가이아나감비아건지과들루프과테말라괌그레나다그리스그린란드기니기니비사우나미비아나우루나이지리아남극 대륙남수단남아프리카네덜란드네덜란드령 카리브네팔노르웨이노퍽섬뉴질랜드뉴칼레도니아니우에니제르니카라과대만대한민국덴마크도미니카도미니카 공화국독일동티모르디에고 가르시아라오스라이베리아라트비아러시아레바논레소토레위니옹루마니아룩셈부르크르완다리비아리투아니아리히텐슈타인마다가스카르마르티니크마셜 제도마요트마카오(중국 특별행정구)말라위말레이시아말리맨섬멕시코모나코모로코모리셔스모리타니모잠비크몬테네그로몬트세라트몰도바몰디브몰타몽골미국미국령 버진아일랜드미국령 해외 제도미얀마미크로네시아바누아투바레인바베이도스바티칸 시국바하마방글라데시버뮤다베냉베네수엘라베트남벨기에벨라루스벨리즈보스니아 헤르체고비나보츠와나볼리비아부룬디부르키나파소부베섬부탄북마리아나제도북마케도니아북한불가리아브라질브루나이사모아사우디아라비아사우스조지아 사우스샌드위치 제도산마리노상투메 프린시페생마르탱생바르텔레미생피에르 미클롱서사하라세네갈세르비아세우타 및 멜리야세이셸세인트루시아세인트빈센트그레나딘세인트키츠 네비스세인트헬레나소말리아솔로몬 제도수단수리남스리랑카스발바르제도-얀마웬섬스웨덴스위스스페인슬로바키아슬로베니아시리아시에라리온신트마르턴싱가포르아랍에미리트아루바아르메니아아르헨티나아메리칸 사모아아이슬란드아이티아일랜드아제르바이잔아프가니스탄안도라알바니아알제리앙골라앤티가 바부다앵귈라어센션섬에리트리아에스와티니에스토니아에콰도르에티오피아엘살바도르영국영국령 버진아일랜드영국령 인도양 지역예멘오만오스트레일리아오스트리아온두라스올란드 제도왈리스-푸투나 제도요르단우간다우루과이우즈베키스탄우크라이나이라크이란이스라엘이집트이탈리아인도인도네시아일본자메이카잠비아저지적도 기니조지아중국중앙 아프리카 공화국지부티지브롤터짐바브웨차드체코칠레카나리아 제도카메룬카보베르데카자흐스탄카타르캄보디아캐나다케냐케이맨 제도코모로코소보코스타리카코코스 제도코트디부아르콜롬비아콩고-브라자빌콩고-킨샤사쿠바쿠웨이트쿡 제도퀴라소크로아티아크리스마스섬클리퍼턴섬키르기스스탄키리바시키프로스타지키스탄탄자니아태국터크스 케이커스 제도토고토켈라우통가투르크메니스탄투발루튀니지튀르키예트리니다드 토바고트리스탄다쿠나파나마파라과이파키스탄파푸아뉴기니팔라우팔레스타인 지구페로 제도페루포르투갈포클랜드 제도폴란드푸에르토리코프랑스프랑스령 기아나프랑스령 남방 지역프랑스령 폴리네시아피지핀란드필리핀핏케언 제도허드 맥도널드 제도헝가리홍콩(중국 특별행정구) Organization Street address Street address line 2 Street address line 3 City Service Information Service contact: Did your branch complete the repair? - Select -YesNo Servicing dealer: City, State, Zip: Attachment Information Model/Catalog Number: Serial Number: Installation Date: Failure Date: Date Dealer Completed Repair: Truck Information Truck Make and Model: Truck Serial Number: Warranty Truck Hours: Claim Information Customers Complaint: Was this issue discussed with a Cascade Technician: - Select -YesNo If yes, name of the Cascade Service Technician: Did your service technician issue an RGA or Service Ticket? - Select -YesNo What is the RGA or Service Ticket number?: Cause of problem: Repair work performed: Replaced Parts Replaced Parts Qty Part Number Name/Description Cost Per Unit Dealer PO# 작업 Qty Part Number Name/Description Cost Per Unit Dealer PO# Qty Part Number Name/Description Cost Per Unit Dealer PO# Qty Part Number Name/Description Cost Per Unit Dealer PO# Work Order Information Labor hours claimed: Travel hours claimed: Total travel and labor hours: Posted Retail Labor rate: Claim, work order or invoice number: Adjusted Labor rate: *Cascade Warranty pays 70% of your posted labor rate. Dealer Information Address Phone: E-Mail: End User Information Address Service Information Did your branch complete the repair? Servicing dealer: City, State, Zip: Attachment Information Model/Catalog Number: Serial Number: Installation Date: Failure Date: Date Dealer Completed Repair: Truck Information Truck Make and Model: Truck Serial Number: Warranty Truck Hours: Claim Information Customers Complaint: Was this issue discussed with a Cascade Technician: If yes, name of the Cascade Service Technician: Did your service technician issue an RGA or Service Ticket? What is the RGA or Service Ticket number?: Cause of problem: Repair work performed: Replaced Parts QtyPart NumberName/DescriptionCost Per UnitDealer PO# [webform_submission:values:replaced_parts_row] Work Order Information Labor hours claimed: 0 Travel hours claimed: 0 Total travel and labor hours: Posted Retail Labor rate: 0 Claim, work order or invoice number: Adjusted Labor rate: *Cascade Warranty pays 70% of your posted labor rate. File Attachments Status message Attach pre-repair photos and work orders to help expedite warranty processing. Status message Attach up to three supporting documents or photos here. Status message Total size of all uploads can not exceed 10 MB (10,000 KB). File upload One file only.10 MB limit.Allowed types: jpg, png, pdf, doc. File upload One file only.10 MB limit.Allowed types: jpg, png, pdf, doc. File upload One file only.10 MB limit.Allowed types: jpg, png, pdf, doc. Status message File claims within 30 days of completion of repair. Status message Identify product by Cascade Serial Number. (Only those properly identified can be considered for warranty.) Status message Cascade new product warranted for 36 months from the date of installation. Cascade Remanufactured product warranted for 12 months from the date of installation. Cascade Certified Used product are warranted for 6 months from date of installation. Please limit claims to the warranty period. Status message Retain all parts until you receive an RGA (return goods authorization) from Cascade.