File a Claim - Trailstar

File a Claim

Step 1 of 4

Distributor/Repair Facility*
Distributor/Repair Facility Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Contact Phone*
Trailer VIN#*

Vehicle Vocation*
Vehicle Owner's Name*
First Last
In-Service Date*
MM slash DD slash YYYY
Failure Date*
MM slash DD slash YYYY
Approximate Mileage at Failure*

Customer Description of Failure*
Repair's Description of Problem Found*
Parts List*
Number of Labor Hours*
Hourly Warranty Labor Rate Requested*
Repair Order Number*

Payee Name*
First Last
Contact Name*
First Last
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
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