Claim Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Dealer Name : *Technician : *FirstLastService Manager's Email Address : *Model & Product Code :Batch No:Machine's Serial Number & Software :Issue Found :Upload Picture of product with tracking number (Max 1.1MB) : Click or drag a file to this area to upload. Upload Picture - Defect page (Max 1.1MB) : Click or drag a file to this area to upload. Upload Proof of Yield (Max 1.1MB) : Click or drag a file to this area to upload. Upload a Video (Max 1.1MB) : Click or drag a file to this area to upload. Submit