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Customer Quality Claim Form
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*
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This form is to be used for Traxon e:cue North America Customers. If you did not purchase your project materials directly from Traxon e:cue, please contact the original distributor/dealer and/or your Traxon e:cue local Sales Agent for additional support. For troubleshooting assistance, please contact Traxon e:cue Technical Support: (978) 570-3189 (Business Hours). See our Warranty Terms and Conditions, found
here
, for additional information. If you do not have the information for a required field, please fill in the space to allow the submission. We will work with you to find the missing data.
Order Information
Purchase Order Number
Invoice Number
Project Name
*
Country
United States
Canada
Project Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Date of Installation
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Contact Name
First
Last
Contact Company
Contact Email
Contact Phone
Date of Claim
Month
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11
12
Day
1
2
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31
Year
2025
2024
2023
2022
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
2010
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1955
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1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Replacement Shipping Information
Company Name
Contact Name
First
Last
Country
United States
Canada
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Claim Information
Type of Claim
*
Non-functioning Upon Delivery
Physical Damage
Failed After Use
Incorrect Item Received
Product Name
*
Model Number
Serial Number
Claim Description
*
Quantity
*
Do you have another product to add?
*
Yes
No
Product Name
*
Model Number
*
Serial Number
*
Claim Description
*
Do you have another product to add?
*
Yes
No
Product Name
*
Model Number
*
Serial Number
*
Claim Description
*
Description of troubleshooting step(s) performed:
Additional comments to Traxon e:cue Technical Customer Service:
Product Photos and Additional Files
Drop files here or
Select files
Accepted file types: jpg, png, pdf, Max. file size: 250 MB.
I confirm that all information provided in this form is accurate, to the best of my knowledge, and agree to the below terms:
*
Confirm
By selecting the above confirmation, the RMA Claim requester acknowledges that the Warranty shall cover defects that are attributable to material and/or manufacturing fault identified during the Warranty period. If replacement product(s) are sent in advance of receiving the non-functional product(s), all returns must be made within 30 days of receipt of replacement product. Any claims that fail to return material within this time to Traxon will be invoiced for the full amount for all replacements sent to the undersigned. If the returned product(s) are deemed not covered by warranty, the undersigned will be invoiced for the full amount for all replacements issued.
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