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Sealco (Non-ABS) Valve Warranty Submission

Use this form for Sealco branded products. -- Only one claim may be submitted per form.

Fill in the pertinent data and then click the Send button. You will be contacted with a Return Goods Authorization (RGA) number. Customer/Fleet Information *Company Name *Telephone/Extension Fax *Email *Contact Name Street City, State, & Zip Code *Required Vehicle Information Manufacturer Model Semi Trailer Lead Semi Trailer Full (Pull) Trailer Converter Dolly Tractor Other Vehicle Type Year Built Vehicle ID Number (VIN) Mileage Other Detail Part Information Part Number Part Description And/Or Function Describe Defect Or Malfunction