Minimum Efficiency Standards

Customer Information

Business Name*

Today's Date*

Contact Name*

First Last

Phone

Email*

Please complete at least one field.

WEG Sales Order #

Product Serial #

Product Model #

Project Name*

Site Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Site Contact Name

First Last

Site Contact Phone #

Installation Contractor Name

First Last

Installation Contractor Phone #

Individual who discovered the issue*

Date of Discovery*

Brief description of issue/problem/question*

How was the problem discovered?

File Upload

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Please attach as much information/evidence as possible so that we can fully understand the issue and find the most efficient resolution.

Please check which documents are included with this claim.