Warranty Reimbursement Form

"*" indicates required fields

Warranty #*

Please enter the warranty number you received from CID here

Dealer Name*

Name of Employee Submitting Claim*

First Last

Dealership Phone*

Employee's Email*

Number of Labor Hours*

Labor Hourly Rate*

Total Cost of Warranty Work

If a CID Invoice is involved and credit needs to be issued please list the invoice number below

List any additional information regarding the warranty work below

Submit Warranty Work/Labor Invoice

Max. file size: 128 MB.

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