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JML Products, Inc.
Warranty Claim Application

Note: Please fill out all information and send all requested material. Failure to complete this form and supply all
requested material will delay your claim. Do not disassemble units that were assembled by JML. Other
applications that used only JML parts should have just the parts returned to JML not the complete unit.

RGA # Contact JML at 626/357-0077 for a Returned Goods Authorization #. All
Date Called: returned goods must have an RGA # marked on package (s) or they will
Caller Name: be refused. No exceptions. Ship to: JML Products, Inc.
Company Name: 705 Los Angeles Avenue
Monrovia, CA 91016
Distributor Information:
Company: Contact: City: State:

Dealer Information:
Company: Address: City:
State: Zip: Tel: Fax: Contact:

Dealer Customer Information:
Name: Address: City:
State: Zip: Tel: Fax:

Application Details:
Manufacturer: Model: Year:
Length: Beam: Engine / Drive: Horse Power:

List any modifications to boat or drive system that were not installed by the original manufacturer:

Details of Return: Please list all item (s) being returned and describe detailed reason for warranty claim.

If you need more space for this description please continue on back of this sheet.

Documentation and other items required to process warranty: Please make sure that all items listed are sent with
this application. Failure to do so will delay processing this claim.

1. All parts claimed and listed on this application. This is all parts being claimed regardless of manufacturer.
2. Copy of invoices as follows:
A. Original purchase invoice from Distributor. C. Invoice for installation of warranted parts.
B. Proposed invoice to JML from the Dealer for repairs. D. Invoices for any other items being claimed

Note: JML reserves the right to credit the Dealer, via the Distributor, for all JML products involved in this claim.