Warranty Claim Form

Please do not return items until technical service has reviewed the issue and provided a warranty case number.
Any items received without prior authorisation will be returned to the sender.

Date

Customer Reference

CUSTOMER DETAILS

First Name

Last Name

Phone No.

Company Name

Street

City

Postcode

State

PRODUCT DETAILS

Part No.

Serial/Batch No.

Original Purchase Date

Original Invoice No. / Customer Purchase Order Reference

Original Installer

Upload your photos or files here:
Note: To upload multiple items, select all of them at once before uploading.
Accepted files: jpg, jpeg, png, webp, pdf

CLAIM DETAILS

Reason for Claim

Application

Time in Service

System Flow (l/min)

System Pressure - specify Bar or PSI

Additional Information:

I understand that the claim is subject to OMFB Pacific’s Warranty Policy and Terms & Conditions of Sale.