Copyright 2008-2010 G.C. Duke Equipment  Inc. All Rights Reserved.
Please provide the following contact information.
Dealer Name*
Contact*
Phone*
Fax
Email*
Dealer Claim Number 
Please provide the following contact information.
Owner's Name*
Contact*
Address*
 
City*
Postal Code *
Phone
Please provide the following product information.
Product Name*
Miscellaneous Product:
Model*
Serial No.*
Hour Meter Reading* 
Purchase Date*
Failure Date*
Repair Date*
Conditions Found. Cause of Failure.*
Repair Made.*
Labour Claimed  @ $ per hour
Parts used to make repair
1. Part# Qty Description
2. Part# Qty Description
3. Part# Qty Description
4. Part# Qty Description
5. Part# Qty Description
Collapse/Expand  Additional Parts: 6-10 parts
6. Part# Qty Description
7. Part# Qty Description
8. Part# Qty Description
9. Part# Qty Description
10. Part# Qty Description
Collapse/Expand  Additional Parts: 11-15 parts
11. Part# Qty Description
12. Part# Qty Description
13. Part# Qty Description
14. Part# Qty Description
15. Part# Qty Description
Collapse/Expand  Additional Parts: 16-20 parts
16. Part# Qty Description
17. Part# Qty Description
18. Part# Qty Description
19. Part# Qty Description
20. Part# Qty Description
Note: Claim must be returned within 10 days of repair, so that a claim can be filed on your behalf. All parts should be retained until credit is received in the event that the manufacturer requires them returned.

An authorization number is required prior to any repairs over $400.00 and can be obtained by contacting Peggy Rayner at 905-637-5216 X 141 or email warranty@gcduke.com