Braun Northwest - North Star Emergency Response Vehicles

MEETING
YOUR NEEDS.

"Patient care has certainly benefited from our relationship with Braun Northwest. We appreciate the 'can do' attitude and collaborative partnership approach to vehicle construction."

Hoke Overland, Medical Services Officer, King County Medic One

PARTS & SERVICE

Please provide us with as much information as possible so we can reply to you promptly. For warranty claims prior authorization is required. Please complete the form below in it's entirety or download our warranty approval worksheet.

Contact Person:

Company / Organization Name:

Address:

City:

State:

Phone:

E-Mail:

Inquiry:

For Warranty Claims, please complete the following section:

VIN # or Build #:

Remit Payment To:

Prior Approval #:

Date Issued:

Date Repaired:

Mileage:

Delivery Date to Customer:

Total Labor:

Total Parts:

Total:

Total Claim Allowed:

Authorized by:

Authorized Date:

Complaint:

Cause:

Correction:

Qty	Part # or Desc	Price

Hours:

Labor Rate:

Hours Approved:

Rate Approved:

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BRAUN NORTHWEST, INC. Manufacturer of North Star Emergency Response Vehicles

P.O. Box 1204 | Chehalis, WA 98532
Toll Free 800.245.6303 | Fax 360.748.0256