brocebroom.com
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Submitted URL: https://www.brocebroom.com/warranty-claims/
Effective URL: https://brocebroom.com/warranty-claims/
Submission: On November 12 via api from IE — Scanned from DE
Effective URL: https://brocebroom.com/warranty-claims/
Submission: On November 12 via api from IE — Scanned from DE
Form analysis 3 forms found in the DOM
GET https://brocebroom.com/
<form class="mk-header-searchform" method="get" id="mk-header-searchform" action="https://brocebroom.com/">
<span>
<input type="text" class="text-input on-close-state" value="" name="s" id="s" placeholder="Search..">
<i class="mk-searchform-icon"><svg class="mk-svg-icon" data-name="mk-icon-search" data-cacheid="icon-67335fbb8268b" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 1664 1792"><path d="M1152 832q0-185-131.5-316.5t-316.5-131.5-316.5 131.5-131.5 316.5 131.5 316.5 316.5 131.5 316.5-131.5 131.5-316.5zm512 832q0 52-38 90t-90 38q-54 0-90-38l-343-342q-179 124-399 124-143 0-273.5-55.5t-225-150-150-225-55.5-273.5 55.5-273.5 150-225 225-150 273.5-55.5 273.5 55.5 225 150 150 225 55.5 273.5q0 220-124 399l343 343q37 37 37 90z"></path></svg><input value="" type="submit" class="header-search-btn"></i>
</span>
</form>GET https://brocebroom.com/
<form class="responsive-searchform" method="get" action="https://brocebroom.com/">
<input type="text" class="text-input" value="" name="s" id="s" placeholder="Search..">
<i><input value="" type="submit"><svg class="mk-svg-icon" data-name="mk-icon-search" data-cacheid="icon-67335fbb87b50" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 1664 1792"><path d="M1152 832q0-185-131.5-316.5t-316.5-131.5-316.5 131.5-131.5 316.5 131.5 316.5 316.5 131.5 316.5-131.5 131.5-316.5zm512 832q0 52-38 90t-90 38q-54 0-90-38l-343-342q-179 124-399 124-143 0-273.5-55.5t-225-150-150-225-55.5-273.5 55.5-273.5 150-225 225-150 273.5-55.5 273.5 55.5 225 150 150 225 55.5 273.5q0 220-124 399l343 343q37 37 37 90z"></path></svg></i>
</form>POST /warranty-claims/
<form method="post" enctype="multipart/form-data" id="gform_12" action="/warranty-claims/" data-formid="12" novalidate="">
<div class="gform-body gform_body">
<ul id="gform_fields_12" class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_2" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_2">
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_12_2" type="hidden" class="gform_hidden" aria-invalid="false" value="11/12/2024"></div>
</li>
<li id="field_12_57" class="gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_57"><label class="gfield_label gform-field-label" for="input_12_57">Your Broce Sales Rep<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_57" id="input_12_57" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select your sales rep</option>
<option value="Terry Wimer">Terry Wimer</option>
<option value="Jim Grasse">Jim Grasse</option>
<option value="Dave Krason">Dave Krason</option>
<option value="John Morton">John Morton</option>
<option value="Scott Wimer">Scott Wimer</option>
<option value="Kellen Cox">Kellen Cox</option>
<option value="Jeremie Koehn">Jeremie Koehn</option>
</select></div>
</li>
<li id="field_12_126"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_126">
<div style="margin:10px;"></div>
</li>
</ul>
<fieldset class="gfieldset gform_fieldset_begin gform_fieldset LightFieldsetBox">
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_4" class="gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_4"><label class="gfield_label gform-field-label" for="input_12_4">Dealer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_4" id="input_12_4" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_12_3" class="gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_3"><label class="gfield_label gform-field-label" for="input_12_3">Customer<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_12_3" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_12_5" class="gfield gfield--type-address gfield--input-type-address gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_5"><label class="gfield_label gform-field-label gfield_label_before_complex">Dealer Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row" id="input_12_5">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_12_5_1_container">
<input type="text" name="input_5.1" id="input_12_5_1" value="" aria-required="true">
<label for="input_12_5_1" id="input_12_5_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2 gform-grid-col" id="input_12_5_2_container">
<input type="text" name="input_5.2" id="input_12_5_2" value="" aria-required="false">
<label for="input_12_5_2" id="input_12_5_2_label" class="gform-field-label gform-field-label--type-sub ">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_12_5_3_container">
<input type="text" name="input_5.3" id="input_12_5_3" value="" aria-required="true">
<label for="input_12_5_3" id="input_12_5_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
</span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_12_5_4_container">
<select name="input_5.4" id="input_12_5_4" aria-required="true">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="American Samoa">American Samoa</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_12_5_4" id="input_12_5_4_label" class="gform-field-label gform-field-label--type-sub ">State</label>
</span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_12_5_5_container">
<input type="text" name="input_5.5" id="input_12_5_5" value="" aria-required="true">
<label for="input_12_5_5" id="input_12_5_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_5.6" id="input_12_5_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_12_6" class="gfield gfield--type-address gfield--input-type-address gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_6"><label class="gfield_label gform-field-label gfield_label_before_complex">Customer Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row" id="input_12_6">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_12_6_1_container">
<input type="text" name="input_6.1" id="input_12_6_1" value="" aria-required="true">
<label for="input_12_6_1" id="input_12_6_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2 gform-grid-col" id="input_12_6_2_container">
<input type="text" name="input_6.2" id="input_12_6_2" value="" aria-required="false">
<label for="input_12_6_2" id="input_12_6_2_label" class="gform-field-label gform-field-label--type-sub ">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_12_6_3_container">
<input type="text" name="input_6.3" id="input_12_6_3" value="" aria-required="true">
<label for="input_12_6_3" id="input_12_6_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
</span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_12_6_4_container">
<select name="input_6.4" id="input_12_6_4" aria-required="true">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="American Samoa">American Samoa</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_12_6_4" id="input_12_6_4_label" class="gform-field-label gform-field-label--type-sub ">State</label>
</span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_12_6_5_container">
<input type="text" name="input_6.5" id="input_12_6_5" value="" aria-required="true">
<label for="input_12_6_5" id="input_12_6_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_6.6" id="input_12_6_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_12_18" class="gfield gfield--type-email gfield--input-type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_18"><label class="gfield_label gform-field-label" for="input_12_18">Dealer Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_18" id="input_12_18" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_12_62" class="gfield gfield--type-phone gfield--input-type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_62"><label class="gfield_label gform-field-label" for="input_12_62">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_62" id="input_12_62" type="tel" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
</ul>
</fieldset>
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_17" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_17">
<h2 class="gsection_title">About the Equipment</h2>
</li>
</ul>
<fieldset class="gfieldset gform_fieldset_begin gform_fieldset LightFieldsetBox">
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_12" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_12"><label class="gfield_label gform-field-label" for="input_12_12">Serial #<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_12_12" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_12_10" class="gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_10"><label class="gfield_label gform-field-label" for="input_12_10">Model<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_10" id="input_12_10" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="Select an Option">Select an Option</option>
<option value="250">250</option>
<option value="260">260</option>
<option value="350">350</option>
<option value="MK1">MK1</option>
<option value="FMJ470">FMJ 470</option>
<option value="BBA- Angle Broom Attachment">BBA- Angle Broom Attachment</option>
<option value="BBA- Pickup Broom Attachment">BBA- Pickup Broom Attachment</option>
</select></div>
</li>
<li id="field_12_11"
class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_11"><label class="gfield_label gform-field-label" for="input_12_11">In Service Date<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_date">
<input name="input_11" id="input_12_11" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_12_11_date_format"
aria-invalid="false" aria-required="true">
<span id="input_12_11_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_12_11" class="gform_hidden" value="https://brocebroom.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
</li>
<li id="field_12_54"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_54" data-conditional-logic="hidden" style="display: none;">
<div style="padding:5px;border:3px solid orange;">
<p>If you need to return parts for your 260 machine, be sure to send them to:<br>
<strong>Waldon Equipment</strong><br> Attn: Warranty Claim<br> 201 W. Oklahoma Avenue<br> Fairview, OK 73737
</p>
</div>
</li>
<li id="field_12_55"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_55" data-conditional-logic="hidden" style="display: none;">
<div style="padding:5px;border:3px solid orange;">
<p>If you need to return parts for your machines, be sure to send them to:<br>
<strong>Broce Manufacturing</strong><br> Attn: Warranty Administrator/Service Manager<br> 1460 S. Second Avenue<br> Dodge City, KS 67801
</p>
</div>
</li>
<li id="field_12_13" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_13"><label class="gfield_label gform-field-label" for="input_12_13">Customer Reference #<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_12_13" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_12_14" class="gfield gfield--type-text gfield--input-type-text gf_first_quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_14"><label class="gfield_label gform-field-label" for="input_12_14">Claim #<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_12_14" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_12_15" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_15"><label class="gfield_label gform-field-label" for="input_12_15">Machine Hrs<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_15" id="input_12_15" type="text" value="" class="small" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_12_16"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_third_quarter gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_16"><label class="gfield_label gform-field-label gfield_label_before_complex">Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_12_16">
<li class="gchoice gchoice_12_16_1">
<input class="gfield-choice-input" name="input_16.1" type="checkbox" value="Owner Operated" id="choice_12_16_1">
<label for="choice_12_16_1" id="label_12_16_1" class="gform-field-label gform-field-label--type-inline">Owner Operated</label>
</li>
<li class="gchoice gchoice_12_16_2">
<input class="gfield-choice-input" name="input_16.2" type="checkbox" value="Rental" id="choice_12_16_2">
<label for="choice_12_16_2" id="label_12_16_2" class="gform-field-label gform-field-label--type-inline">Rental</label>
</li>
</ul>
</div>
</li>
</ul>
</fieldset>
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_19" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_19">
<h2 class="gsection_title">Parts Returned</h2>
</li>
<li id="field_12_20"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_20">
<p>The manufacturer reserves the option of furnishing replacement parts F.O.B. our factory in lieu of issuing credit for parts determined by us to be defective.</p>
</li>
</ul>
<fieldset class="gfieldset gform_fieldset_begin gform_fieldset LightFieldsetBox">
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_63" class="gfield gfield--type-text gfield--input-type-text gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_63">
<label class="gfield_label gform-field-label" for="input_12_63">Qty</label>
<div class="ginput_container ginput_container_text"><input name="input_63" id="input_12_63" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_64" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_64">
<label class="gfield_label gform-field-label" for="input_12_64">Part #</label>
<div class="ginput_container ginput_container_text"><input name="input_64" id="input_12_64" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_66" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_66">
<label class="gfield_label gform-field-label" for="input_12_66">Broce Inv #</label>
<div class="ginput_container ginput_container_text"><input name="input_66" id="input_12_66" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_127" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_127"><label class="gfield_label gform-field-label" for="input_12_127">Price</label>
<div class="ginput_container ginput_container_number"><input name="input_127" id="input_12_127" type="text" step="any" value="" class="small" aria-invalid="false"></div>
</li>
<li id="field_12_65" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_65"><label
class="gfield_label gform-field-label" for="input_12_65">Description</label>
<div class="ginput_container ginput_container_text"><input name="input_65" id="input_12_65" type="text" value="" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_12_67" class="gfield gfield--type-text gfield--input-type-text gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_67">
<label class="gfield_label gform-field-label" for="input_12_67">Qty</label>
<div class="ginput_container ginput_container_text"><input name="input_67" id="input_12_67" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_68" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_68">
<label class="gfield_label gform-field-label" for="input_12_68">Part #</label>
<div class="ginput_container ginput_container_text"><input name="input_68" id="input_12_68" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_70" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_70">
<label class="gfield_label gform-field-label" for="input_12_70">Broce Inv #</label>
<div class="ginput_container ginput_container_text"><input name="input_70" id="input_12_70" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_128" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_128"><label class="gfield_label gform-field-label" for="input_12_128">Price</label>
<div class="ginput_container ginput_container_number"><input name="input_128" id="input_12_128" type="text" step="any" value="" class="small" aria-invalid="false"></div>
</li>
<li id="field_12_69" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_69"><label
class="gfield_label gform-field-label" for="input_12_69">Description</label>
<div class="ginput_container ginput_container_text"><input name="input_69" id="input_12_69" type="text" value="" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_12_71" class="gfield gfield--type-text gfield--input-type-text gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_71">
<label class="gfield_label gform-field-label" for="input_12_71">Qty</label>
<div class="ginput_container ginput_container_text"><input name="input_71" id="input_12_71" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_72" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_72">
<label class="gfield_label gform-field-label" for="input_12_72">Part #</label>
<div class="ginput_container ginput_container_text"><input name="input_72" id="input_12_72" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_74" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_74">
<label class="gfield_label gform-field-label" for="input_12_74">Broce Inv #</label>
<div class="ginput_container ginput_container_text"><input name="input_74" id="input_12_74" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_129" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_129"><label class="gfield_label gform-field-label" for="input_12_129">Price</label>
<div class="ginput_container ginput_container_number"><input name="input_129" id="input_12_129" type="text" step="any" value="" class="small" aria-invalid="false"></div>
</li>
<li id="field_12_73" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_73"><label
class="gfield_label gform-field-label" for="input_12_73">Description</label>
<div class="ginput_container ginput_container_text"><input name="input_73" id="input_12_73" type="text" value="" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_12_27" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_27"><label class="gfield_label gform-field-label" for="input_12_27">Nature of Failure - Explain fully<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_27" id="input_12_27" class="textarea medium" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
</ul>
</fieldset>
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_112"
class="gfield gfield--type-product gfield--input-type-calculation gf_fourth_quarter basicTotals gfield_price gfield_price_12_112 gfield_product_12_112 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_112"><label class="gfield_label gform-field-label gfield_label_before_complex" for="input_12_112_1">TOTAL PARTS</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_112.1" value="TOTAL PARTS" class="gform_hidden">
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price_label">Price:</span>
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price" id="input_12_112">$0.00</span>
<input type="hidden" name="input_112.2" id="ginput_base_price_12_112" class="gform_hidden" value="$0.00">
<input type="hidden" name="input_112.3" value="1" class="ginput_quantity_12_112 gform_hidden">
</div>
</li>
<li id="field_12_32" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_32">
<h2 class="gsection_title">Labor</h2>
</li>
</ul>
<fieldset class="gfieldset gform_fieldset_begin gform_fieldset LightFieldsetBox">
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_37"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_37">
<p> Record date and hours for labor performed. Amounts will automatically be totaled.</p>
</li>
<li id="field_12_87"
class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_87"><label class="gfield_label gform-field-label" for="input_12_87">Date</label>
<div class="ginput_container ginput_container_date">
<input name="input_87" id="input_12_87" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_12_87_date_format"
aria-invalid="false">
<span id="input_12_87_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_12_87" class="gform_hidden" value="https://brocebroom.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
</li>
<li id="field_12_81" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_81">
<label class="gfield_label gform-field-label" for="input_12_81">Hours</label>
<div class="ginput_container ginput_container_text"><input name="input_81" id="input_12_81" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_82" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_82">
<label class="gfield_label gform-field-label" for="input_12_82">Rate</label>
<div class="ginput_container ginput_container_text"><input name="input_82" id="input_12_82" type="text" value="" class="small" placeholder="$100.00" aria-invalid="false"> </div>
</li>
<li id="field_12_130" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_130"><label class="gfield_label gform-field-label" for="input_12_130">Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_130" id="input_12_130" type="text" step="any" value="" class="small" readonly="readonly" aria-invalid="false"></div>
</li>
<li id="field_12_88"
class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_88"><label class="gfield_label gform-field-label" for="input_12_88">Date</label>
<div class="ginput_container ginput_container_date">
<input name="input_88" id="input_12_88" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_12_88_date_format"
aria-invalid="false">
<span id="input_12_88_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_12_88" class="gform_hidden" value="https://brocebroom.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
</li>
<li id="field_12_84" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_84">
<label class="gfield_label gform-field-label" for="input_12_84">Hours</label>
<div class="ginput_container ginput_container_text"><input name="input_84" id="input_12_84" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_85" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_85">
<label class="gfield_label gform-field-label" for="input_12_85">Rate</label>
<div class="ginput_container ginput_container_text"><input name="input_85" id="input_12_85" type="text" value="" class="small" placeholder="$100.00" aria-invalid="false"> </div>
</li>
<li id="field_12_131" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_131"><label class="gfield_label gform-field-label" for="input_12_131">Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_131" id="input_12_131" type="text" step="any" value="" class="small" readonly="readonly" aria-invalid="false"></div>
</li>
<li id="field_12_89"
class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_89"><label class="gfield_label gform-field-label" for="input_12_89">Date</label>
<div class="ginput_container ginput_container_date">
<input name="input_89" id="input_12_89" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_12_89_date_format"
aria-invalid="false">
<span id="input_12_89_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_12_89" class="gform_hidden" value="https://brocebroom.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
</li>
<li id="field_12_90" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_90">
<label class="gfield_label gform-field-label" for="input_12_90">Hours</label>
<div class="ginput_container ginput_container_text"><input name="input_90" id="input_12_90" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_91" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_91">
<label class="gfield_label gform-field-label" for="input_12_91">Rate</label>
<div class="ginput_container ginput_container_text"><input name="input_91" id="input_12_91" type="text" value="" class="small" placeholder="$100.00" aria-invalid="false"> </div>
</li>
<li id="field_12_132" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_132"><label class="gfield_label gform-field-label" for="input_12_132">Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_132" id="input_12_132" type="text" step="any" value="" class="small" readonly="readonly" aria-invalid="false"></div>
</li>
<li id="field_12_31" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_31"><label
class="gfield_label gform-field-label" for="input_12_31">Labor Description</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_31" id="input_12_31" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
</ul>
</fieldset>
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_93"
class="gfield gfield--type-product gfield--input-type-calculation gf_fourth_quarter basicTotals gfield_price gfield_price_12_93 gfield_product_12_93 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_93"><label class="gfield_label gform-field-label gfield_label_before_complex" for="input_12_93_1">TOTAL LABOR</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_93.1" value="TOTAL LABOR" class="gform_hidden">
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price_label">Price:</span>
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price" id="input_12_93">$0.00</span>
<input type="hidden" name="input_93.2" id="ginput_base_price_12_93" class="gform_hidden" value="$0.00">
<input type="hidden" name="input_93.3" value="1" class="ginput_quantity_12_93 gform_hidden">
</div>
</li>
<li id="field_12_38" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_38">
<h2 class="gsection_title">Mileage</h2>
</li>
<li id="field_12_39"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_39">
<p> Record any mileage acquired for this repair. Amounts will automatically be totaled.</p>
</li>
</ul>
<fieldset class="gfieldset gform_fieldset_begin gform_fieldset LightFieldsetBox">
<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_94"
class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_first_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_94"><label class="gfield_label gform-field-label" for="input_12_94">Date</label>
<div class="ginput_container ginput_container_date">
<input name="input_94" id="input_12_94" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_12_94_date_format"
aria-invalid="false">
<span id="input_12_94_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_12_94" class="gform_hidden" value="https://brocebroom.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
</li>
<li id="field_12_96" class="gfield gfield--type-text gfield--input-type-text gf_second_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_96">
<label class="gfield_label gform-field-label" for="input_12_96">Miles</label>
<div class="ginput_container ginput_container_text"><input name="input_96" id="input_12_96" type="text" value="" class="small" aria-invalid="false"> </div>
</li>
<li id="field_12_95" class="gfield gfield--type-text gfield--input-type-text gf_third_quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_95">
<label class="gfield_label gform-field-label" for="input_12_95">Rate</label>
<div class="ginput_container ginput_container_text"><input name="input_95" id="input_12_95" type="text" value="" class="small" placeholder="$.60" aria-invalid="false"> </div>
</li>
<li id="field_12_133" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_133"><label class="gfield_label gform-field-label" for="input_12_133">Amount</label>
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<span id="input_12_99_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_12_99" class="gform_hidden" value="https://brocebroom.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
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<div class="ginput_container ginput_container_number"><input name="input_134" id="input_12_134" type="text" step="any" value="" class="small" readonly="readonly" aria-invalid="false"></div>
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<div class="ginput_container ginput_container_text"><input name="input_104" id="input_12_104" type="text" value="" class="small" aria-invalid="false"> </div>
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<div class="ginput_container ginput_container_text"><input name="input_105" id="input_12_105" type="text" value="" class="small" placeholder="$.60" aria-invalid="false"> </div>
</li>
<li id="field_12_135" class="gfield gfield--type-number gfield--input-type-number gf_fourth_quarter gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
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<div class="ginput_container ginput_container_number"><input name="input_135" id="input_12_135" type="text" step="any" value="" class="small" readonly="readonly" aria-invalid="false"></div>
</li>
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<ul class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_12_98"
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data-js-reload="field_12_98"><label class="gfield_label gform-field-label gfield_label_before_complex" for="input_12_98_1">TOTAL MILEAGE</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_98.1" value="TOTAL MILEAGE" class="gform_hidden">
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price_label">Price:</span>
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price" id="input_12_98">$0.00</span>
<input type="hidden" name="input_98.2" id="ginput_base_price_12_98" class="gform_hidden" value="$0.00">
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<h2 class="gsection_title">Documentation</h2>
</li>
<li id="field_12_61"
class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_12_61">You can upload your supporting documentation here in the form of PDF, JPG or GIF files. You can also fax them in to (580)227-2165, Attn: Mike Gall.</li>
<li id="field_12_58" class="gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_58"><label
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<span class="gform_drop_instructions">Drop files here or </span>
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</form>Text Content
(866) 579-2488 For Parts: (620) 371-8706
* HOME
* SWEEPER PRODUCTS
* FMJ470 Front Mount
* 250 Series
* BW-260
* 350 Series
* MK-1
* Turf Boss
* Skid Steer Attachments
* Angle Broom
* Pickup Broom
* ABOUT
* Our Staff
* News & Industry Blog
* Our History
* Product Videos
* Employment
* CONTACT US
* PARTS & SERVICES
* Warranty
* Manuals & Parts Catalog
* Training & Safety Videos
* DEALER LOCATOR
* ESPAÑOL
* عربى
*
*
*
*
* HOME
* SWEEPER PRODUCTS
* FMJ470 Front Mount
* 250 Series
* BW-260
* 350 Series
* MK-1
* Turf Boss
* Skid Steer Attachments
* Angle Broom
* Pickup Broom
* ABOUT
* Our Staff
* News & Industry Blog
* Our History
* Product Videos
* Employment
* CONTACT US
* PARTS & SERVICES
* Warranty
* Manuals & Parts Catalog
* Training & Safety Videos
* DEALER LOCATOR
* ESPAÑOL
* عربى
WARRANTY CLAIMS
Complete the online form below to submit your warranty request.
Online submissions: Complete the form below. You will receive a digital version
to the email you provided. Please keep a copy for your records. If returning
parts include a copy of your digital submission with your returns. Be sure to
include supporting work orders, photographs or other documentation related to
the claim. Return parts PREPAID at the same time claims are submitted. Return
all parts to the address on your confirmation unless otherwise instructed by the
factory. Claim consideration requires a detailed Service Report, Shop Order and
parts returned for inspection. Authorization for service must be approved prior
to performance.
Other Warranty Documents
* Service Allowances
* Warranty Claim Procedures
*
* Your Broce Sales Rep*
Select your sales repTerry WimerJim GrasseDave KrasonJohn MortonScott
WimerKellen CoxJeremie Koehn
*
* Dealer*
* Customer*
* Dealer Address*
Street Address Address Line 2 City AlabamaAlaskaAmerican
SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern
Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin
IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces
AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
* Customer Address*
Street Address Address Line 2 City AlabamaAlaskaAmerican
SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern
Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin
IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces
AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
* Dealer Email*
* Phone*
* ABOUT THE EQUIPMENT
* Serial #*
* Model*
Select an Option250260350MK1FMJ 470BBA- Angle Broom AttachmentBBA- Pickup
Broom Attachment
* In Service Date*
MM slash DD slash YYYY
* If you need to return parts for your 260 machine, be sure to send them to:
Waldon Equipment
Attn: Warranty Claim
201 W. Oklahoma Avenue
Fairview, OK 73737
* If you need to return parts for your machines, be sure to send them to:
Broce Manufacturing
Attn: Warranty Administrator/Service Manager
1460 S. Second Avenue
Dodge City, KS 67801
* Customer Reference #*
* Claim #*
* Machine Hrs*
* Type*
* Owner Operated
* Rental
* PARTS RETURNED
* The manufacturer reserves the option of furnishing replacement parts F.O.B.
our factory in lieu of issuing credit for parts determined by us to be
defective.
* Qty
* Part #
* Broce Inv #
* Price
* Description
* Qty
* Part #
* Broce Inv #
* Price
* Description
* Qty
* Part #
* Broce Inv #
* Price
* Description
* Nature of Failure - Explain fully*
* TOTAL PARTS
Price: $0.00
* LABOR
* Record date and hours for labor performed. Amounts will automatically be
totaled.
* Date
MM slash DD slash YYYY
* Hours
* Rate
* Amount
* Date
MM slash DD slash YYYY
* Hours
* Rate
* Amount
* Date
MM slash DD slash YYYY
* Hours
* Rate
* Amount
* Labor Description
* TOTAL LABOR
Price: $0.00
* MILEAGE
* Record any mileage acquired for this repair. Amounts will automatically be
totaled.
* Date
MM slash DD slash YYYY
* Miles
* Rate
* Amount
* Date
MM slash DD slash YYYY
* Miles
* Rate
* Amount
* Date
MM slash DD slash YYYY
* Miles
* Rate
* Amount
* TOTAL MILEAGE
Price: $0.00
* DOCUMENTATION
* You can upload your supporting documentation here in the form of PDF, JPG or
GIF files. You can also fax them in to (580)227-2165, Attn: Mike Gall.
* Supporting Documents Upload
Drop files here or Select files
Accepted file types: jpg, gif, pdf, Max. file size: 32 MB, Max. files: 5.
* CAPTCHA
Broce Broom
1460 South Second Ave
Dodge City, KS 67801
Phone: (620) 227-8811
Sales: (866) 579-2488
Parts & Service: (877) 227-8811 or (620) 371-8706
BW 260 Parts & Service: (580) 227-3711
Fax: (405) 579-4368
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