Combilift Warranty Parts Return Form (QF40) Unique IDPlease return parts to FAO Vender Quality -BAY 12, Annahagh, Co. Monaghan, H18 VP65 Ireland. Tel. +353 47 80500/Fax +353 47 80501 User/Dealer Company name* Submitters email address* A copy of this form will be emailed to this email address so it can be printedShip from/Collection Address and ContactsContact Name* Contact Email* Contact Telephone No.* Street Address* Address Line 2* City* Zip / Postal Code* CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweDealer Ref No* Combilift/Parts Requestor* Failure date* DD slash MM slash YYYY Repair Date DD slash MM slash YYYY Truck Serial #* Truck Model* Truck Hrs* Details of Failure & Work Carried Out*Information on the Parts and associated Packaging Pallet 1.Pallet Weight (kg)* Pallet Length (mm)* Pallet Width (mm)* Pallet Height (mm)* Pallet 1 contents*Warranty Claim No (WW.....)Combilift Parts NoParts DescriptionHS CodePart serial No *HS Code is the Tariff Code for this part. Please see this on the Invoice for the new part.Pallet 2.Pallet Weight (kg)* Pallet Length (mm)* Pallet Width (mm)* Pallet Height (mm)* Pallet 2 contents*Warranty Claim No (WW.....)Combilift Parts NoParts DescriptionHS CodePart serial No *HS Code is the Tariff Code for this part. Please see this on the Invoice for the new part.Pallet 3.Pallet Weight (kg)* Pallet Length (mm)* Pallet Width (mm)* Pallet Height (mm)* Pallet 3 contents*Warranty Claim No (WW.....)Combilift Parts NoParts DescriptionHS CodePart serial No *HS Code is the Tariff Code for this part. Please see this on the Invoice for the new part.Attach any Relevant Files. Photos of Pallets must be included, in addition to any details of the individual parts Drop files here or Select files Max. file size: 25 MB, Max. files: 5. Packed By* Signature* Date* DD slash MM slash YYYY Please tick the buttons to confirm your understanding* PLEASE FILL OUT THIS SHEET AND ATTACH PRINTED EMAIL TO ALL FAULTY / WARRANTY PARTS BEING RETURNED TO COMBILIFT Once you press the submit button this completed form will be emailed to the email address supplied, where it can be printed Every item being returned has to be listed so it can be declared. Incorrect parts lists will cause delays. Combilift is not responsible for any delays caused by Customs Δ