Product Warranty, Service and Comment Form

Please use this form if you would like service on a Savaria product, register your warranty or have a comment or concern

How can we help you today?*
Warranty for product*
First Name*
Last Name*
Full Name*
Phone*  
For numbers outside North America , click
on '+' to enter your number
Email
Installation Street Name and Number*
City*
State/Province*
Zip/Postal Code*
Country*
Job No/Serial No*
Need Help?

Application*
Product Type*
Model
Are you the owner/original purchaser of the product?*
Date Installed
If you do not know the installation date, please let us know how many years it’s been installed*
OEM Brand*
Model year*
V.I.N*
Odometer*
Conversion Type*
Original dealer
Warranty Term*
(DISCLAIMER : If you have not already ordered an extended warranty or are unsure, please contact your dealer)

Inquiry comments
Submitted by*
Inquiry Origin*
Status*
Subject*