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Customer Number
*
Name
*
Street
Zip code
Location
Country
Phone number
E-mail address
*
Commission
Product
Truck-mounted crane/trailer crane Accessories truck crane/trailer crane Inclined hoist Inclined lift accessories ALP-Lift ALP-Lift accessories Mini crane Accessories mini crane Mobile lift Mobile lift accessories Rack and pinion lift Accessories rack and pinion hoist Construction winch Construction winch accessories Top-Lift Top-Lift accessories
Product type
Serial number
Construction month
Year of construction
Operating hours
What type of warranty is involved?
Device warranty Parts warranty Goodwill
Description of damage/failure
*
Date of use
*
Work carried out
We will reimburse travel and working hours up to a maximum of €35.00 per hour and mileage up to a maximum of €0.63 per km.
Travel time one way in minutes
Kilometers one way
Return journey time in minutes
Kilometers return journey
Working time in minutes (without break)
*
Item number (part 1)
Article description (part 1)
Quantity (part 1)
Item number (part 2)
Article description (part 2)
Quantity (part 2)
Item number (part 3)
Article description (part 3)
Quantity (part 3)
Item number (part 4)
Article description (part 4)
Quantity (part 4)
Item number (part 5)
Article description (part 5)
Quantity (part 5)
What should happen?
* Credit note Cost estimate repair New delivery
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