Dominion Spas Warranty Claim

Claims must be submitted within 30 days of repair date.

Claims submitted after 30 days of repair date are subject to denial.

Serial Number: * SERIAL NUMBER must be submitted for LABOR PAYMENTS Customer Number: * CUSTOMER NUMBER. This is your P Number. Spa INSTALL Date: * Spa REPAIR Date: * Customer Full Name: *

Customer Address: *

Customer Phone Number: *

Customer E-mail: * Customer Complaint: * Service Performed: * Part #: * QTY: * Tech Name: *

Dealer Name: * Dealer Email: * Dealer Address: *

Dealer Phone Number: *

Time Start: *

Time End: *

Please Upload Your Image / Label here: * Please Upload Your Image / Label here: