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Warranty Parts and Labor Claim Form
Better machines, better ice (and slush, and soft serve!)
"
*
" indicates required fields
Icetro America Parts and Labor Warranty Claim Form
Date of Failure
*
MM slash DD slash YYYY
Date Repaired
*
MM slash DD slash YYYY
Install Date
MM slash DD slash YYYY
Model No.
*
Select Model
FWU0100R
IB-026-22
IB-033
IB-044
IB-085-48
IBO-150KIT
IBO-150KIT-FS
IBO-DB30
IBO-F8001
IBO-HDRKIT
IBO-HDWKIT
IBO-L6800
IBO-WMK160
IBT-2230BV
IBT-2248B
IBT-3048B
IC-0220-AC
IC-0220-AH
Icetro_WM-1100-WC
Icetro_WM-1100-WH
ID-0160-AN
ID-0300-AN
ID-0450-AN
ID-H150-22
ID-H250-30
IDS-0350
IDS-0450
IM-0350-AC
IM-0350-AC-22
IM-0350-AH
IM-0350-AH-22
IM-0460-AC
IM-0460-AC-22
IM-0460-AH
IM-0460-AH-22
IM-0460-WC
IM-0460-WH
IM-0550-AC
IM-0550-AC-22
IM-0550-AH
IM-0550-AH-22
IM-0550-WC
IM-0550-WH
IM-0680-AC
IM-0680-AH
IM-0750-AC
IM-0750-AH
IM-0770-AF
IM-0770-AN
IM-1100-AC
IM-1100-AH
IM-1100-RC
IM-1100-RH
IM-1100-WC
IM-1100-WH
IM-1700-AC
IM-1700-AH
IM-1700-RC
IM-1700-RH
IM-1700-WC
IM-1700-WH
IM-2000-AC
IM-2000-AH
IM-2000-RC
IM-2000-RH
IM-2000-WC
IM-2000-WH
IPK-61B
IPK-62B
IRC-1100
IRC-2000
IRT-20R404A
IRT-20R410A
IRT-35R404A
IRT-35R410A
IRT-50R404A
IRT-50R410A
IS-0700-AS
ISI-161TH
ISI-161TI
ISI-163ST
ISI-163TT
ISI-203SN
ISI-271SHSN
ISI-271THSN
ISI-300TA
ISI-303SNA
ISI-303SNW
IU-0070-OU
IU-0090-AN
IU-0090-ANP
IU-0170-AC
IU-0170-AH
IU-0220-AC
IU-0220-AH
SSM-180
SSM-280
SSM-420
SSM-52
WC-0070-AB
WC-0100-AB
WM-0460-AC
WM-0460-AC-22
WM-0460-AH
WM-0460-AH-22
WM-0460-WC-22
WM-0680-AC
WM-0680-AH
WM-0680-WC
WM-0680-WH
WM-1100-AC
WU-0070-AB
WU-0100-AC
Serial Number
*
Service Agent Information
Company Name
*
Address
*
Unit No. / Suite No.
City
*
State
*
ZIP
*
Phone
*
Email
*
Service Agent Information - Check here if
Check here if you sold this equipment
Check here if you lease this equipment to the customer
Distributor Information
Company Name
City
State
Email (Distributor)
Distributor Information - Check here if
Check here if you sold this equipment
Check here if you lease this equipment to the customer
Customer Information
Company Name
*
Contact Name
*
Address
*
Unit No. / Suite No.
City
*
State
*
ZIP
*
Phone
*
Email
LABOR Performed:
Description of work performed: provide symptoms, diagnosis, and resolution; provide explanation; give location of any leaks
*
Hours
*
Please enter a number greater than or equal to
1
.
Labor Rate ($100 is standard)
*
Please enter a number greater than or equal to
1
.
Subtotal Labor ($)
*
Please enter a number greater than or equal to
1
.
Reported Complaint
Total Labor $
*
Please enter a number greater than or equal to
1
.
PARTS Replaced: all parts are to be obtained from Icetro America, Inc., and retained for 30 days
Part No.
*
Part Name/Description
*
Cost ($)
*
Please enter a number greater than or equal to
1
.
Qty.
*
Please enter a number greater than or equal to
1
.
Subtotal Parts ($)
*
Please enter a number greater than or equal to
1
.
*If parts were received at zero value from Icetro America or an Icetro Distributor, enter "$0" for cost.
If parts were purchased, please enter the price you paid and attach invoice here:
Click here if you purchased parts for this claim
Click here if you purchased parts for this claim
Total Parts $
*
Please enter a number greater than or equal to
0
.
Attach invoice
Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.
Refrigerant
Did you use refrigerant?
Did you use refrigerant?
Type used
Amount used (oz.)
$1.75 per oz. ($28/lb.)
Please enter a number from
1
to
1.75
.
Total Refrigerant ($)
Do you have miscellaneous costs for repairs that required opening the refrigeration system (including brazing supplies, vacuum pump, recovery equipment, etc)?
Do you have miscellaneous costs for repairs that required opening the refrigeration system (including brazing supplies, vacuum pump, recovery equipment, etc)?
Miscellaneous material up to $75.00 for repairs requiring opening of refrigeration system (includes brazing supplies, vacuum pump, recover equipment, etc.) Only fill in if necessary ($)
Sub-Total
*
Tax %
Tax ($)
Claim Total
*
Invoice Number
*
Attach copy of invoice here (if applicable)
Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.
Service Technician Name
*
Date of Submission
*
MM slash DD slash YYYY
Do you have photos that were requested by Icetro or that could help clarify the issue?
Do you have photos that were requested by Icetro or that could help clarify the issue?
If photos were requested by Icetro or will help clarify the issue, please attach here:
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 10.
Only provide photos if necessary
This form will be submitted to Icetro America.
For follow up, please call 714-215-4874 or email at jason.m@icetroamerica.com.
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Blog
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Ice Equipment Product Selector
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Contact Us