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Toter Residential Warranty Form <br />Fields noted with * are required. <br />Company Name Customer Number <br />First Name Last Name <br />Phone Number* Email <br />1, A, 9 <br />Issue Description * <br />ELP51WEI Qzail : <br />Please enter claim details for your products below, images of damaged products are required <br />for claim processing. <br />You may add more than one product type by clicking on 'Add another product'. <br />If you would like to upload multiple products in a single file, please download the template at <br />the bottom of this form and attach the completed file when submitting a claim- <br />Qgwriload TuDA101 <br />Item Type Resolution Requested* <br />Please select... Please select <br />Order/invoice Number Serial Number(s) Quantity* <br />Date of Purchase Date Out of Service Cart style <br />Body Color * Lid Color* Description of Damage <br />[' Please select. • Please select, <br />Add another product. <br />Attach Files* <br />Choose File No file chosen <br />Z�� <br />