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Claim Checks

Claim Check Front:
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Full-Size Example

Claim Check Back:
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Full-Size Example
- A claim check is required when:
- You remove a product from the home, home office or private motor vehicle
- You accept a set or appliance for repair at your place of business
- What needs to be on your claim check
- The name and registration number of the service dealer and the address and telephone number of the location where the set or appliance will be repaired
- The date the set or appliance was accepted or received by the service dealer
- Printed on front or back of claim check Business and Professions Code Section 9844.
- "An estimate as required (Section 9844 of the California Business and Professions Code) for repairs shall be given to the customer by the service dealer in writing, and the service dealer may not charge for work done or parts supplied in excess of the estimate without prior consent of the customer. Where provided in writing, the service dealer may charge a reasonable fee for services provided in determining the nature of the malfunction in preparation of a written estimate for repair. For information contact the Bureau of Electronic and Appliance Repair, Department of Consumer Affairs, Sacramento 95814"
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