Warranty Submission Form

Please complete all required fields. Incomplete submissions may delay the review of your warranty request.

Company

This field is for validation purposes and should be left unchanged.

1. Requestor Information

Customer Name(Required)

First Last

Facility / Company Name(Required)

Contact Name (if different than Customer Name)

Email(Required)

Phone Number(Required)

2. Order Information

SOC Number

Product Location(Required)

3. Product Information

Product Description(Required)

Quantity Affected(Required)

4. Warranty Issue Details

Date Issue Was First Observed(Required)

Issue Category(Required)

Detailed Description of Issue(Required)

Is the Product Still Functional?(Required)

Has This Product or Issue Been Submitted to Kwalu Previously?(Required)

Yes

Previous Warranty Claim / Reference Number

Description of Previous Repair or Replacement

5. Attachments

Photo of Complete Product(Required)

Max. file size: 98 MB.

Close Up Photo of Issue / Damage(Required)

Max. file size: 98 MB.

Photo of Product Identification Tag / Label

Max. file size: 98 MB.

6. Requested Solution

Select Your Preferred Solution(Required)

Please Describe Requested Solution(Required)

The requested solution is not guaranteed as the final warranty resolution. Kwalu will review the information provided and determine the appropriate resolution under the applicable product warranty.

7. Shipping Information

Complete this section if replacement products or parts are required.

Ship to Contact

Company / Facility(Required)

Phone Number(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

8. Final Confirmation

Please understand submitting the form does not constitute warranty approval. This will require a formal review, and our warranty team will be reaching out within 24 hours.