Big Tex Warranty Claim Form

Trailer Owner Information

* First Name:

* Last Name:

Company:

* Email Address:

* Phone Number:

Fax Number:

* Address:

* City:

* State:

* Zip Code:

Trailer Information

* Trailer Model:

* VIN/Serial # (17 characters)

Trailer Length:

Trailer Width:

* Date of Purchase:

Date of Manufacture:

* Describe the issue with your trailer:

Dealership Information

BTT Warranty Claim Regions.png

* Region of Dealer

Dealership Name

Dealership Address

City:

State:

Zip Code:

Dealer Phone Number

Dealer Fax Number

Repair Shop Information

* Repair Shop Name:

* Address:

* City:

* State:

* Zip Code:

* Phone Number:

Fax Number:

* Date of Claim

* Repair Parts Estimate:

* Repair Labor Cost:

* Estimate Repair Total:

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