Incident Report Form

Missing parts, warranty claim? Please use the ‘Incident Report Form’ for any problem regarding your conversion kit/vehicle.

Please select one of the options below (dealer or owner).

Dealer or owner

Company name:

Contact name:

Contact email:

Telephone:

Vehicle details

Identification number:

Mileage:

Description of issue/problem

Please discribe your issue or problem

Please upload pictures to identify the issue or problem.

Upload photo's

Warranty Registration Form

Please register your vehicles with the form below. This ensures maximum support should any problems arise in the future

Please select one of the options below (dealer or owner).

Dealer or Owner

Company name:

Contact name:

Contact email:

Telephone:

Vehicle details

Your reference of client's name:

Warranty contract number:

Vehicles make & type:

Mileage:

First registration date:

Please upload extra information

Please upload the customer signed warranty registration form.

copy signed warranty registration form

Please upload a front copy of the vehicle registration card

front copy of the vehicle registration card

Please upload a back copy of the vehicle registration card

back copy of the vehicle registration card

Important

This form is required to register your vehicle for warranty purposes. Registration of a new vehicle is required to start vehicle warranty. Unfortunately we are not able to process warranty requests on unregistered vehicles.

Note: In case of need, please call our office from Monday to Friday, from 07.30 to 16.30 phone: +31 (0)46 489 41 00