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Printable Service Form

Complete this form, print it, and include it with your equipment when shipping to us.

Serving truckers since 1982
5-day avg. turnaround
We call before billing

⚠️ Important: This is a Printable Service Form

This form is not a service request or quote inquiry. Complete this form, print it, and mail it with your equipment to our service center.

We cannot service: Vintage equipment, discontinued models, or equipment older than 20 years. Call us at 1-844-WALCOTT with questions.

Contact Information

We'll use this to send updates and shipping instructions.

Name
Phone
Email (optional)
Address

We'll contact you to confirm shipping details before returning your equipment.

Equipment for Service

Add each piece of equipment you're sending in.

No equipment added yet

We'll email you a confirmation and call when your repair is complete.

v2.7.0