Flow-Meter Failure Claim Form

Please note that this form is for direct VIQUA customers only. For indirect customers or end users, please contact your dealer or VIQUA support.
Reference Case Number (if known)
You may have a case number from technical support. If so, enter it here.
Flow-Meter Part Number*
Serial Number*
Purchase Date (end user)
Failure Description
Is the piping going into the flow-meter 1" in diameter?
Is there a minimum of 10" of straight piping before the flow-meter?
Was a replacement part installed?
Did it fix the problem?
Upload Relevant Documents
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Taille maximum des fichiers : 50 MB.
Images, videos, receipts
Requested Compensation*
VIQUA Direct Customer Information
VIQUA Direct Customer Company Name*
VIQUA Direct Customer ID
Adresse postale Ville État / Province / Région ZIP / Code postal Pays
VIQUA Direct Customer Contact Name*
VIQUA Direct Customer Email*
VIQUA Direct Customer Phone*

VIQUA Direct Customer Information