Combilift Technical Support

Unique ID
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Date
MM slash DD slash YYYY
Dealer Name*
Dealer Contact Name*
Dealer Contact Number*
Dealer Email Address*
Dealer Contact Position*
Model*
Serial No.*
Hour Meter Reading*
Customer Business Name*
Customer Contact Name*
Customer Contact Number*
Customer Address*
City*
State*
Country*
Zip / Postal Code*
Breakdown/Failure Date*
DD
MM
YYYY
Description of Reported Fault / Service requested*
Actions Taken*
Fault Category*
Please choose a category
Area of Fault*
File*
Drop files here or

Accepted file types: jpg, png, pdf, msg, jpeg, txt, Max. file size: 20 MB.