BCC100 Claim Form

BCC100’s are considered their own unit. Please be sure to have both the defective SN of the BCC100 and the replacement serial number.

You must replace with another Bosch BCC100. If you go with another brand, you will need prior approval or the claim will be denied.

If you have a BCC50, please enter that in the comments section and then complete all the information as needed.

BCC100 Replacement

Date of Failure

Original Date of Install

Defective Unit Serial #

Replacement Unit Serial #

How was the unit replaced?

Purchase Order

Central Distribution

Replacement Purchase Order #

Customer reference # (If applicable)

If you would like information added to the RMA for reference, please enter it here.

Describe the reason for failure

Contractor Company Name

Contractor Phone #

Installation Application Type

Homeowner or Company Name

Installation Address

Branch # (if applicable)

Your Company Name

Company Address

Once the claim is submitted, you will receive an email with your claim #.

Your Name

Additional Emails, if applicable (separate by commas)

If anyone additional would like to be notified of claim status, enter their email address(es) here.

Your Email

Any additional information, enter here.

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