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Warranty Report


Please complete all information and submit original to Pentair Water, Warranty Department.
Forms submitted after 45 days of repair will not be accepted.

*Indicates fields required

W

*Service Center
*Address
*City *State *Zip
*Contact Person *Phone Number *Email Address

*MODEL NUMBER *DATE CODE *SERIAL NUMBER *BUILDER CODE *INSTALLED *FAILED *COMPONENT FAILURE *FAILURE TYPE
*DETAILED EXPLANATION OF MANUFACTURING DEFECT AND CAUSE OF FAILURE

LIST OEM PARTS USED FOR REPAIR
*at least one item required
QUANTITY DESCRIPTION PART NUMBER NET PRICE
Click to add additional line items. Parts Total
Standard Freight or 5% OEM Parts
Flat Labor Allowance
Total


*Please submit an image of the nameplate of the pump being repaired with every submission of a warranty credit request.