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Toter* <br />BUILT FOR EXTREMES"' <br />Toter Residential Warranty Form <br />Fields noted with * are required. <br />Company Name <br />Culstomer Number <br />First Name * <br />Last Name <br />Phone Number <br />Email <br />+ ###-###-#### <br />Issue Description <br />Product Details <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 />Download Bulk Upload Template <br />Item Type * Resolution Requested <br />Please select... • Please select... <br />1 <br />Order/Invoice Number Serial Number(s) Quantity* <br />1 � I <br />Date of Purchase * Date Out of Service * Cart style <br />Please select. • <br />i <br />Body Color * rLid Color * Description of Damage* <br />j <br />Please select. • Please select. • I <br />111 1 1 <br />Add another product <br />Attach Files* <br />Choose File No file chosen <br />Add another image <br />