Ab Närpes Trä & Metall
PB 68, FI-64201 NÄPES		CLAIM FORM
Deal / PA No.
   
SJS
   
Ref.
   
RMA NrDate
   

Applicant:
Name*
Company*
Address  
City  
Phone*
E-mail*
Country*

Customer:
Name  
Company  
Address  
City  
Phone  
E-mail  
 

Delivery date
Repair date *
Equipment type
NTM serial no *
Operating hours / km *
Details of failure and probable reason:*
Part NoDescriptionQuantityPrice/unitPrice/total
Work
Hours
Labour costs/hr
Total
Parts total




 




 




 




 




 




 




 




 




Work total

Claim form status  accepted not approved pending 

Total
    *

Attach files (e.g. pictures)