Labor Reimbursement Form

All fields with * are required

Type of Claim: *
Unit Replacement
Field Repair
Claimant Information
Purchase Information
Vehicle Information
Claim Details
At least one line must be filled out completely, showing quantity, description and total claim amount.

Attach Documents
Please attach documents to validate the Claim Details. This can be an invoice or a receipt. Information must match to be valid.
If you are unable to attach the required documents to this page you must send them either by fax to (603) 685-6883, by email to, or by mail to Moveras LLC, 22 Northwestern Dr, Salem NH 03079. Please ensure that you have your Claim Number referenced when sending the Required Documents using these methods.
Labor will only be reimbursed for repairs completed by a professional repair facility; Repair Orders from the repair facility must be submitted with the labor reimbursement request for processing. All labor reimbursement amounts are determined from warranty time hours in the current ALL DATA time guide at the rate of $50.00 per hour with the maximum labor cap indicated in your warranty documentation. Where applicable, transmission fluid will be reimbursed up to a rate of $20.00 per claim. Complete unit replacement claims will only be reimbursed when the alleged defective unit is returned and found to have failed due to a factory related issue. Field Repair reimbursement claims will be processed once the defective part(s) are returned unless otherwise noted by your Warranty Administrator.

Upon submission of a labor reimbursement request, you release Moveras, LLC and their distributors from any further liability regarding this warranty return.

Having trouble submitting your form?  Call us at 1-877-866-8372 for assistance.