Bargman | Warranty Claims

Bargman Warranty Claim Form

Product Information

Part No

Place of Purchase

Date of Purchase

Problem experienced with the product

Product verification will be displayed here after part number is supplied.

Product Photos

Select Photo (PNG, JPG, or GIF formats only)

Document Uploads Must Be in PNG, JPG, or GIF Format
Please provide a photo of your sales receipt

Uploaded Photos will be displayed here.

How has the product been used over the time period purchased

How was the product being used at the time it stopped performing

If any damage occurred, please describe and provide photos

Damage Photos

Select Photo (PNG, JPG, or GIF formats only)

Document Uploads Must Be in PNG, JPG, or GIF Format

Uploaded Photos will be displayed here.

Vehicle Information

Your Vehicle's Information

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle VIN

Vehicle Photos

Select Photo (PNG, JPG, or GIF formats only)

Document Uploads Must Be in PNG, JPG, or GIF Format

Uploaded Photos will be displayed here.

Towed Vehicle Information

Towed Vehicle Year

Towed Vehicle Make

Towed Vehicle Model

Towed Vehicle VIN

Towed Vehicle Photos

Select Photo (PNG, JPG, or GIF formats only)

Document Uploads Must Be in PNG, JPG, or GIF Format

Uploaded Photos will be displayed here.

Personal Information

First Name

Last Name

Email Address

Phone Number

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Bargman Warranty Claims

Claim Successfully Submitted

Product Information

Vehicle Information

Personal Information

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