Service Provider / Retailer
Warranty Claim FORM
A. CONSUMER INFORMATION
Consumer Name
Address
City, State/Province Zip/Postal Code
The minimum requirements for a consumer to be eligible for Warranty coverage are:
❑
✓
To be the Original purchaser of the qualifying Tenneco products.
❑
✓
To present the Consumer’s Bill of Sale for the original purchase of the qualifying Tenneco products which clearly has part number
and other customer information (a copy will need to be submitted with warranty claim documentation).
Note: Consumer retains original Bill of Sale as documentation for future warranty needs
Consumer Signature Print Name
Replacement Date (MM/DD/YY) Consumer Telephone ( )
SERVICE PROVIDER/RETAILER (providing warranty replacement) This section must be completed to ensure credit.
Telephone ( ) Retailer Name
Telephone ( ) Service Provider Name
Address
City, State/Province Zip/Postal Code
INSTRUCTIONS TO SERVICE PROVIDER/RETAILER
You will need to complete all sections of this form to ensure credit. Attach the following to the Tenneco Warranty Claim form (TEN-0049-0218)
and return to the supplier for credit:
• Copy of Consumer’s Bill of Sale for original purchase • Part numbered box end flaps • Parts removed must be returned to supplier
Revised: Effective 3/1/2018
Tenneco Warranty Center
© 2018 Tenneco Printed in U.S.A. TEN-0049-0218
06 = Other-Both
07 = Binder-RC
08 = No Gas-RC
09 = Fit-Both
10 = Appearance-
Both
12 = Air Leak-Both
13 = Ride-RC
14 = Customer
Satisfaction-Both
15 = Broken Unit-
Both
16 = Loose Internals-
EC (Baffles)
17 = Roving Blow
Out-EC
01 = Leaking Fluid-RC
02 = Broken Unit-Both
03 = Noisy-Both
04 = Worn Out-Both
05 = Changeover-Both
PRODUCT DEFECT KEY:
*
C. REPLACEMENT PART NUMBER
If “Other-Both” (06) is used as defect code, please provide detailed description.
B. VEHICLE INFORMATION
Vehicle
Original
Part Number
Replacement
Part Number Quantity
Product
Defect Code*
Product
Date Code
Original
Installation Mileage
Original Date
of Purchase
Present
Mileage
YEAR: Example 1993 MAKE: Example Chevrolet MODEL: Example Lumina
The personal data that you provide in connection with this program will be used for purposes of processing your warranty claim form. Your data may be shared with Tenneco’s business partners (such as retailers or service providers) who are assisting
with the program and may contact you in connection with your warranty claim. However, our business partners are not permitted to use your data for any other purpose and are required to uphold an equivalent level of protection for your data as that
provided by Tenneco.
Residents of Canada, please be advised that your data may be transferred out of Canada and stored on servers located in or accessible by individuals in the U.S. or elsewhere. Although those other countries may not have data protection laws that
require the same level of protection for your data as Canada, Tenneco has taken steps to ensure an adequate level of protection for your data irrespective of where it is located. For additional information about Tenneco’s data protection practices,
please review our privacy policy at www.tenneco.com or contact us at 734-384-7898 / privacy@tenneco.com.
EMISSIONS CONTROL
