Assessment Form

Please note this is a preliminary assessment only.

Case No.

Contact details

Your contact information

First Name *

Last Name *

Phone *

Email *

Preferred Contact Method

SMS
Phone
Email

Product Info

Product Brand

Brands

Other Brand

Product Type

Model Name / Product Name

Serial Number

(S/N) Serial Number

Purchase Info

Was this product purchased from Justride Nerang?

Yes
No
Not Sure

Purchase Date

Proof of Purchase Upload

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

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If not purchased from Justride Nerang

*Products not purchased from Justride Nerang may incur a warranty handling or administration fee. Our team will confirm any applicable fees before proceeding.

Please describe the issue in detail

If other, please explain

* When the issue started * What happened * Whether it has worsened * Whether the product is still usable

Has the product been involved in a crash, impact, or accident?

Yes
No
Not Sure

Has the product been modified?

Yes
No
Not Sure

Has the product been repaired previously?

Yes
No
Not Sure

Has a warranty claim already been submitted for this issue?

Yes
No
Not Sure

Detailed Description of Equipment Failure

PHOTO 1

DRIVE SIDE Photo

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-149851-file2-1_

Upload a clear photo showing the complete bike or complete product from the drive side.

Requirements:

* Entire product visible

* Good lighting

* In focus

* No obstructions

* Full bike or product visible in frame

PHOTO 2

NON-DRIVE SIDE Photo

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-149851-file2-4_

Upload a second image of the issue from a different angle.

Requirements:

* Different perspective from Photo 5

* Fault remains clearly visible

* Good lighting

* In focus

PHOTO 3

SERIAL NUMBER Photo

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-149851-file2-4_

Upload a clear photo showing the complete bike or complete product from the opposite side.

Requirements:

* Entire product visible

* Good lighting

* In focus

* No obstructions

* Full bike or product visible in frame

PHOTO 4

FAULT OVERVIEW Photo

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-149851-file2-4_

Upload a clear photo showing the complete bike or complete product from the opposite side.

Requirements:

* Entire product visible

* Good lighting

* In focus

* No obstructions

* Full bike or product visible in frame

PHOTO 5

FAULT CLOSE-UP Photo

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-149851-file2-4_

Upload a clear photo showing the complete bike or complete product from the opposite side.

Requirements:

* Entire product visible

* Good lighting

* In focus

* No obstructions

* Full bike or product visible in frame

PHOTO 6

ALTERNATE ANGLE OF FAULT Photo

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-149851-file2-4_

Upload a clear photo showing the complete bike or complete product from the opposite side.

Requirements:

* Entire product visible

* Good lighting

* In focus

* No obstructions

* Full bike or product visible in frame

CUSTOMER ACKNOWLEDGEMENT

I agree Terms and Conditions *

* Information provided is accurate

* Product may require physical inspection

* Submission does not guarantee warranty approval

* Warranty approval is determined by supplier/manufacturer/importer

* A handling fee may apply for products not purchased from Justride Nerang

Thanks for getting in touch!

We appreciate you contacting us. One of our staff will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our staff will get back in touch with you soon!

Have a great day!

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