Warranty Claim | Trackara Pro

Warranty Claims / New claim

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Status

Claim status

Note for this change (optional)

Who pays

Payer type

Payer name *

Payer's claim / RA number

Your dealer / servicer ID with them

Unit

Client

Year / make / model

VIN

Unit / component serial

Odometer (miles)

Engine / generator hours

In-service date

Failure date

Repair date

Complaint, cause, correction

Complaint

Cause

Correction

Prior authorization

Authorization number

Approved by (name at payer)

Requested on

Authorized on

Hours authorized

Amount authorized ($)

Labor Warranty labor rate $/hr

Op code	Description	Flat-rate hrs	Actual hrs	Technician	Claimed

Parts

Part #	Description	Qty	Source	Unit price	RMA #	Core return	Return status

Other charges

Kind	Description	Amount

Totals

Photos

Decision and payment

Submitted on

Decision on

Approved amount ($)

Denial reason

Amount received ($)

Received on

Check / ACH / credit memo #

Customer invoice (after a denial)

Internal notes

History