Request Service – geniuslifts

Customer Information

Customer Company Name

First Name

Last Name

Email Address

Contact Number

Job Title

Section 1

Equipment Information:

Equipment Identification Number/SKU (Provided by Genius Lifts) - Note: if you have SKU provided by Genius Lifts, please skip section 1 and go to section 2

Equipment Manufacturer Name - Toyota

Serial Number

Model Name

Manufacture Date

Machine Hours

Machine Details (Capacity/size)

Equipment Type

Diesel

Electric

Propane

Is equipment under Warranty?

Yes

No

Warranty provider

If so, Warranty Expiry Date

Section 2

Reason for Service/Comments

When do you need equipment repaired? - Select date

Do you need rental equipment quote?