Technical Support / Warranty Claim Form For more information - please visit our Global Warranty Policy Subject * - Select -Technical supportWarranty claim First name * Last name * Company * Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Email * Phone * Product * - Select -Mega Lift – Locker BottomGNX Lift – Coach Front Entrance (with/without Magic Floor)EQ LiftEQM LiftAmbulance LiftEasy Access Inboard LiftStepwell LiftiCLASS™ LiftRPB LiftRPH LiftRPI LiftRPS LiftTraxx LiftRCM RampRC120 RampDoor OpenerB-Style WAV KitAXS Electric FlexiStepAXS Mechanical FlexiStepAXS FL rampFlexiSeatFlexiRailManual City RampElectric City Ramp (fold over)Bierman WAV KitGM CoachWork WAV KitLateral WAV KitRestraint SystemWinchFlexiWinchOther iCLASS™ model * - Select -One-piece platformSplit platformFolded platform Serial Number * Product installed in a vehicle? * - Select -YesNo Installation Date * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year2011201220132014201520162017201820192020202120222023202420252026 Year If not yet installed please leave today's date. Installed By * Vehicle Registration Vehicle Make * Vehicle Model * Current Vehicle Location * Mileage * Error message displayed on the LCD * Description * Parts Required Priority * - Select -HighMediumLow Attachments Please include photos / videos with the issue / error codes. Attachment #1 Upload More informationFiles must be less than 20 MB. Allowed file types: gif jpg jpeg png bmp pdf avi mov mp4. Attachment #2 Upload More informationFiles must be less than 20 MB. Allowed file types: gif jpg jpeg png bmp pdf avi mov mp4. Attachment #3 Upload More informationFiles must be less than 20 MB. Allowed file types: gif jpg jpeg png bmp pdf avi mov mp4. Attachment #4 Upload More informationFiles must be less than 20 MB. Allowed file types: gif jpg jpeg png bmp pdf avi mov mp4. Attachment #5 Upload More informationFiles must be less than 20 MB. Allowed file types: gif jpg jpeg png bmp pdf avi mov mp4. Yes, I would like to receive future communications (such as email) from Mobility Networks. * Yes No Leave this field blank CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
