Airmar Certified Installer
Warranty Claim Form (North America Only)

Owner/Customer Information

Name:
Address:
City/State/Zip:
Country:
Phone #:
Boat Name:
Failure Date:
Repair Date:
Date Purchased:
Email:

Certified Installer Information

Company:
Address:
City/State/Zip:
Country:
Phone #:
ACI Tech:
ACI #:
RMA #:
Invoice #:
Email:

Repair/Exchange/Service Information

Unit Model:
Original Serial #:
Replacement Serial #:
Reported Problem:
Corrective Action:
Labor (Not to exceed max rate $120.00): Hours @
Travel (Not to exceed Appendix1 max time & rate): Hours @
Additional Labor (If pre-approved by Airmar): Hours @


(USD)
Certified Installer: Date:
Required Documents for Onboard Warranty Reimbursment:
Completed Claim form, Proof of Purchase/Installation on Vessel In-service Invoice, Work Order/Service Invoice for work completed, Applicable Tax Document only required the first claim of the year (W-8 or W-9)
**Claim form must be completed in full and all documents submitted for submission to be valid.
Mail To:
Airmar
Attn: Warranty Administrator
35 Meadowbrook Drive
Milford, NH 03055
Email To:
certified@airmar.com

Fax:
(603) 673-4624  Attn: Marine Warranty Administrator

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