SYSTEM DIAGNOSTICS REQUEST FORM – VEHICLE OWNER

Vehicle Owner's Name *

First

Last

Vehicle Owner's Company Name (if applicable)

Vehicle Owner Home Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Email *

Phone *

VEHICLE Year *

VEHICLE Manufacturer *

VEHICLE Model *

Layout

VIN

Please use a VIN checker to ensure you are sending us a valid VIN: vpic.nhtsa.dot.gov/decoder

Vehicle Serial #

(VIN Helpful if added now but not required now. Tech will need VIN before processing call, so please have available.)

Vehicle Use *

Date of Purchase – VEHICLE

Date of Purchase – SYSTEM

Control System

Jack Style

Room Extension Information/Description:

Nature of Problem:

Upload a picture of the part if available.

Click or drag files to this area to upload. You can upload up to 3 files.

(.png, .gif, .jpg)

Can you safely move your vehicle? *

Submitting this form will put you directly on our Tech call-back list.
Currently the call-back wait time is estimated at 3-4 weeks.

For faster service you can contact an HWH Master Service Center (Click Here) or your Local Dealer (Click Here).