Product Claim Form

Use this form to document or report a problem. For warranty information, please see www.harken.com/warranty. Harken must inspect the product prior to any warranty being confirmed.

Contact Information

Customer Name:* Address: Address: Zip or Postal Code:* State or Region: City: Country:* Email Address:* Telephone:

Product Information

Quantity:* Part Number/Item Number: Product Serial Number if available: Product Category:* Part Description:*

Age of Part:

or *

Date Purchased:

Purchased From:* Harken Dealer or Distributor Unknown

Issue Description

Application: How was the part used?* Boat: Issue Description: What is the problem or concern?*

Upload Photos/Videos/Proof of Purchase

(limit 5)

Add More Files

* Required Fields

Harken, Inc. | One Harken Way | N15W24983 Bluemound Road | Pewaukee, WI 53072
Phone: 262-691-3320 Fax: 262-701-5780 | Email: techservice@harken.com