Service Bench Application / Add or Delete Header Image

Sign up to enter your own warranty claims to receive credit within 24/48 hours (if complete & accurate information is entered).  This form will also allow you to make changes to your current account

Company Information

Please choose the form you need*
Company Address (No PO Boxes - Physical Address Required)*
Owner Name*
Does the owner need a login for Service Bench?*

We will create the owner's account with the info above. Information below can be used for additional users.

Brand Affiliation*

User Information

Do you have a user to add or delete?*
Add or delete this user?*
Is this your company's main contact for warranty?*
Name*
Do you have a second user to add or delete?*
Add this user or delete?*
Name - User 2*
Do you have a third user to add / delete?*
Add this user or delete?*
Name - User 3*
Do you have a fourth user to add / delete?*
Add this user or delete?*
Name - User 4*

Login Information

User Password*
Wty Tier ID*
Admin Password*
ICP Admin Password*
Which district is the dealer in?*
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