Warranty Parts and Labor Claim Form

Better machines, better ice (and slush, and soft serve!)

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Icetro America Parts and Labor Warranty Claim Form

Date of Failure*

Date Repaired*

Install Date

Model No.*

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*

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 0.

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

Total Parts $*

Please enter a number greater than or equal to 0.

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)?

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)

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.

Service Technician Name*

Date of Submission*

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

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 email tech.support@icetroamerica.com.

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Icetro Claim Number

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Cube Ice

Nugget Ice

Flake Ice

Specialty Ice

Slush

Soft Serve

Warranty Parts and Labor Claim Form

Better machines, better ice (and slush, and soft serve!)

Icetro America Parts and Labor Warranty Claim Form

Service Agent Information

Distributor Information

Customer Information

Refrigerant

This form will be submitted to Icetro America.
For follow up, please email tech.support@icetroamerica.com.

Cube Ice

Nugget Ice

Flake Ice

Specialty Ice

Slush

Soft Serve

Warranty Parts and Labor Claim Form

Better machines, better ice (and slush, and soft serve!)

Icetro America Parts and Labor Warranty Claim Form

Service Agent Information

Distributor Information

Customer Information

Refrigerant

This form will be submitted to Icetro America. For follow up, please email tech.support@icetroamerica.com.

This form will be submitted to Icetro America.
For follow up, please email tech.support@icetroamerica.com.