DMG North Warranty Claim Warranty FormThis form must be completed and submitted within 30 days from the date of failure for warranty consideration. Only one form per unit/serial number. Each unit/serial number can have multiple parts. Contact InformationCompany Name(Required) Individual's Name(Required) Email(Required) Phone(Required)Job Name/Project Number(Required) DMG Sales Engineer Installing Contractor(Required) Commissioned by (If applicable) Installation Date Shipping InformationPlease Designate Shipping or Select a Pickup Location(Required)You Must Choose an OptionWill Call at DMG San JoseWill Call at DMG SacramentoWill Call at DMG RenoShip to:Company Name(Required) Contact Name(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mechanical System DetailsManufacturer(Required)Please Choose An Option From ListAAONDunham-BushEnergy LabsLaarsLGScott SpringfieldOtherOther Manufacturer Unit Model(Required) Unit S/No.(Required) Startup Date(Required) MM slash DD slash YYYY Failure Date(Required) MM slash DD slash YYYY Part DetailsHow many Warranty Parts are you reporting? One Two Three Component(s) Description Description/QuantityPlease enter a number from 0 to 3.Has This Part Failed Before?(Required) Yes No Failure Description(Required)Troubleshooting Notes(Required)Please provide case number given by tech support): (see below)Second ClaimSecond Part Description/QuantityPlease enter a number from 0 to 100000000.00.Second Component(s) Description Has The Second Part Failed Before?(Required) Yes No Second Part Failure Description(Required)Second Part Troubleshooting Notes(Required)Please provide case number given by tech support): (see below)Third ClaimThird Part Description/QuantityPlease enter a number from 0 to 100000000.00.Third Component(s) Description Has The Third Part Failed Before?(Required) Yes No Third Part Failure Description(Required)Third Part Troubleshooting Notes(Required)Please provide case number given by tech support): (see below)Disclaimer All warranty authorizations are determined by the manufacturer. The customer is liable and may be charged for any costs or charges associated with the warranty process, including any charge backs by for parts determined not to be covered under their written limited warranty.Images Drop files here or Select files Accepted file types: jpg, jpeg, gif, tiff, pdf, png, , Max. file size: 256 MB. Please Include any relevant images to expedite your warranty claim. Additional Information •AAON Controls issues require a case# - Controls Department: 918-382-6450 • For LG please be sure to have the Serial#, Model# and Case# from LG TSA confirming that they recommended the part/s that need to be replaced, as well as a failure reason. This information does need to be verified before the part can be ordered. All LG Warranty Claims require a case# from LG Tech Support that list the recommendation for replacement parts with the failure reason - LG Tech#: 888-346-1923 ext 3 for TSA •AAON Warranty Requirements: Serial#, Start-up Date, Failure Reason.