Repair Request

Please complete this form and include a copy with your tool(s) sent in for service and/or repair.
For warranty consideration, please include a copy of the dated purchase receipt.

Today's Date

Name

Model No.

Serial No.

Date of Purchase

Where Purchased

Receipt Available

Yes No

Product Application

To assist us diagnosing your tool, please describe the problem you are experiencing.

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Universal Tool is a registered brand of the Continental Tool Group, Inc.