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Labor Cost Reimbursement Form

Labor Reimbursement Policy:

All labor reimbursement requests for warranty claims must be made by an authorized CornellCookson dealer within the first 12 months after shipment. Written approval from CornellCookson is required PRIOR to performing any warranty work. Any work performed by an unauthorized party or without prior approval will void all warranties. Maximum warranty reimbursement is capped at the 50% of the value of the CornellCookson invoiced amount. Labor warranty reimbursements exclude electrical components and any uncovered costs - examples of this would be; removal and reinstall of adjacent construction, hiring security at an opening, travel costs exceeding 1 hour from dealer location, equipment costs for installation, damage to adjacent construction, etc.

Policy: The policy of CornellCookson is to reimburse our customers for reasonable labor costs to replace defective parts. Labor costs should be the actual cost of the labor, not the billing rates. Please provide all the required information below.

If you have any questions, please send us an email at SERVICE_DEPARTMENT@CORNELLCOOKSON.COM

Please check the box to verify that you read and understand the above Labor Reimbursement Policy.

I have read and understand the Labor Reimbursement Policy

Date:

CRM Ticket #:

CornellCookson Order or Estimate #:

Item #:

CornellCookson Warranty #:

Company Name:

Job Name:

Job Site Address:

City:

State:

Zip Code:

Email:

Your Phone Number:

Description of Problem:

Man Hours to Correct Problem:

Cost Per Man Hour:

Total:

*Allowable Crew Rate: 1-man @ $45/hr; 2-man @ $85/hr; 1-man "union" @ $52/hr; 2-man "union" @ $100/hr

Travel Hours:

Cost Per Man Hour:

Total:

*Allowable Crew Rates: 1-man @ $45/hr; 2-man @ $85/hr; 1-man "union" @ $52/hr; 2-man "union" @ $100/hr

Mileage:

Cost Per Mile

Total:

Other Costs: attach pertinent receipts and/or back-up documentation below:

Other Costs Total:

Total Charges:

Explanation of "Other Costs" or Extraordinary Circumstances:

IMPORTANT NOTE: All costs need to be broken down in detail for reimbursement. Please submit this form with an official invoice from your company and back-up documentation for reimbursement. Any pictures or videos related to the issue will help this process.

File Attachments:

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