FAILURE REPORT

Customer Name*

Address*

Tel*

Purchase Date*

Amazon / Dealer *

Please Select

Amazon order number or Dealer lD *

Dealer Information

Address

Tel

Battery Basic Information

Series No.

Claim Date

Motorcycle Basic Information

Motorcycle Manufacturer

Was the motorcycle system inspected when installing?

Charging Voltage

Drain Current

Charging Current

Some Questions for The Consumer:

How often the motorcycle been driven every week?

How long had the motorcycle been operating (or driven) before failed?

Whether the motorcycle lack maintenance when in garage?

Was the motorcycle with alarm system or add some other electronics?

How did the motorcyclist find out the failure? Please describe.

What is the phenomenon of failure? Please describe in detail and show some battery photos.

Has the battery even been taken out after first installation for charging?*

Has the battery been charged by an individual charger (except Doukas charger)?

Brand & model*

Charging Voltage*

Whether the charger have the de-sulfuration function*

Submit