Parts Warranty/Return Request Form

For Dealers Only,

Please fill in all fields with as much information as possible so we can better service you. We require your KHS Account number, which appears as you Customer ID on your invoices and packing slips from KHS, so we know we are dealing with the correct account.

Thank you for your help.

If you prefer, you may print, complete, and mail or fax to us at:

KHS, Inc.
2840 E. Harcourt St.
Rancho Dominguez, CA 90221
Fax 1-800-720-4547

First Name
Last Name
Store Name
KHS Account Number
Best time to call
Time Zone
Please explain the situation
Is the part defective, damaged, something is missing or other
KHS Order Number
KHS Part Number
How old?
Had it for...
If customer has had it, for how long (# Months/Years)
What's wrong or missing?
More detail, if necessary
Requested action