Warranty Claims | Molnar Hoists

Warranty Claim Form

Claimant Information

Claimant Name

Business Name

Contact Number

Email Address

Date Reported

GPC Customers

Claim number for GPC Account customers

Hoist Owner Information

Contact Name

Business Name

Contact Number

Mobile Number

Address

Suburb

State

Postcode

Product Information

Product Make & Model

Serial Number

Installation Date

Date Last Service / Inspection

Installer

Service Technician

Fault Reported

Has this fault been reported and repaired since installation?

Yes No

Parts Required

Parts Delivery Information

(If different to hoist owner information)

Contact Name

Business Name

Contact Number

Mobile Number

Suburb

State

Postcode

Claimant Declaration

I hereby declare that the above information is true, correct and complete to the best of my knowledge and believe that I have complied with all the conditions of warranty.

Claimant Signature (typed)

Date

Upload Proof of Purchase

Click to upload or drag and drop .pdf,.doc,.docx,.jpg,.jpeg,.png,.gif,.tiff,.webp (max 8MB, up to 5 files)

Upload Photos / Videos of the Faulty Part(s)

Click to upload or drag and drop .jpg,.jpeg,.png,.gif,.webp,.mp4,.mov,.avi,.pdf (max 20MB, up to 10 files)

View Molnar Warranty Terms & Conditions