Claim form

 

First record and analysis of customer claims. FB 027 / REV 1 / Published 14.3.2007 / Creator QMB

 

Date

 

Company/Customer number

 

Product/Type of battery/Part

 

Description of the fault/problem

 

Mr/Mrs/Telephone number

 

Email Address

 

Date code/Manufacturing date

 

Batteries/Open circuit voltage

 

Series connection Please choose Yes No

 

Parallel connection Please choose Yes No

 

How many?

 

Is the date code identical? Please choose Yes No

 

Site of operation/use

 

How is it charged/Battery chargers

 

Charging current/Characteristics/Discharge current