Poorman Auto Supply Labor Claim Submittal Form

Submit Online:

Disclaimer: Only an active Poorman Automotive Warehouse account, in good standing, may submit a labor claim. All claims are subject to review and approval. Poorman Automotive Warehouse reserves the right to refuse any claim improperly submitted.

Labor Claims MUST be submitted within 90 days of warranty work. All required information MUST be included. Form will be sent to Shane McCullough.

INFORMATION REQUIRED FOR LABOR CLAIM CONSIDERATION:

1) BOTH Repair / Work order numbers for both the original repair and subsequent warranty repair.
2) Both Poorman’s invoice numbers from the original purchase and replacement purchase
3) Number of labor HOURS being claimed (Not the value of labor billed, but the HOURS)
4) Vehicle Information: Year, Make, Model and Engine Size
5) Brief overview of the problem

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Date*

Act#*

Act Name*

Original Repair Order #*

Date*

Warranty Repair Order #*

Date*

Poorman Original Invoice #*

Date*

Poorman Warranty Invoice #*

Date*

Hours being claimed =*

Lowest Shop Labor Rate $*

Brand*

Part #*

Description*

Vehicle Year*

Vehicle Make*

Vehicle Model*

Vehicle Engine Size*

Brief description of problem with part and how you concluded it was defective.*

CAPTCHA

Labor Claim Submittal Form

Labor Claim Submittal Form

Poorman Auto Supply Labor Claim Submittal Form

Submit Online:

INFORMATION REQUIRED FOR LABOR CLAIM CONSIDERATION:

Have a Quick Question?