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Email Phone Part CARDINAL ICE WARRANTY SUBMISSION Claim Type:Part(s) OnlyLabor OnlyPart(s) & LaborLocation: *--- Select Choice ---LouisvilleEvansvilleCardinal Ice Equipment 3311 Gilmore Industrial Blvd Louisville, KY 40213 (502) 966-4579 Cardinal Ice Equipment 1315 Read St Unit I Evansville, IN 47710 (812) 468-8550 Servicer Information Company Name *Name *FirstLast(The person completing this form)Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Did you sell this equipment?YesNoDo you lease this equipment?YesNo Unit Location Information Customer/Company Name *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Phone NumberProduct *--- Select Choice ---Main : Head UnitRelated : Condenser, Bin, DispenserUnit Install Date *Part Failure Date *Part Repair Date *Model # *Serial # *Is there a related item included in this system, as part of this repair? *YesNoProduct *Main: Head UnitRelated: Condenser, Bin, DispenserUnit Install DatePart Failure DatePart Repair DateModel # *Serial # * Parts Replaced Manitowoc RM Tag # *Part Number *Part Description *Special Authorization #Not required. Reference numbers do not apply. Only provided by Manitowoc technical service.Specific Reason Part was Replaced: *Part Failed During: *Original Machine WarrantyPurchased Replacement Part Warranty OnlyReplacement Part Warranty = 90 days Compressor and Evaporator Replacement Part Warranty = 1 YearDate Old Part Installed *Date Old Part Failed *Are there more parts included in this repair? *YesNoManitowoc RM Tag # *Part Number *Part Description *Special Authorization #Not required. Reference numbers do not apply. Only provided by Manitowoc technical service.Specific Reason Part was Replaced: *Part Failed During: *Original Machine WarrantyPurchased Replacement Part Warranty OnlyReplacement Part Warranty = 90 days Compressor and Evaporator Replacement Part Warranty = 1 YearDate Old Part Installed *Date Old Part Failed *Are there more parts included in this repair? *YesNoManitowoc RM Tag # *Part Number *Part Description *Special Authorization #Not required. Reference numbers do not apply. Only provided by Manitowoc technical service.Specific Reason Part was Replaced: *Are there more parts included in this repair? *YesNoManitowoc RM Tag # *Part Number *Part Description *Special Authorization #Not required. Reference numbers do not apply. Only provided by Manitowoc technical service.Specific Reason Part was Replaced: *Are there more parts included in this repair? *YesNoManitowoc RM Tag # *Part Number *Part Description *Special Authorization #Not required. Reference numbers do not apply. Only provided by Manitowoc technical service.Specific Reason Part was Replaced: * Labor Claim Servicer's Invoice #Reported Complaint: *Service Performed: *Symptoms and/or summary of diagnosis made is required. List hours and explanation for each repair made. Give exact location of any leaks.Total Hours Claimed *Must adhere to the component repair times as defined by Manitowoc. When repairing multiple parts, use up to the highest allowable time plus an additional 1/2 - 1 hour per each additional part replaced.Labor Rate (per hour) *Did the repair require opening the refrigeration system: *YesNoDid you reclaim and reuse the refrigerant? *YesNoState the reason why you did not reuse the refrigerant: *Type of Refrigerant Used *Amount of Refrigerant Used *Please list any miscellaneous materials required due to opening the system:Upload Supporting Documents Drag & Drop Files, Choose Files to Upload Component Repair Times If your part is required to be returned to Manitowoc, we will contact you, otherwise, please hold on to your part for 90 days or until you get your credit. If you have trouble with this claim form, please contact one of our offices. We are committed to protecting your privacy, and the information collected here is only for warranty administration and will not be shared, sold, or otherwise dispersed to a third party. 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