Dealer Warranty Registration and SPIF Submission Form

Complete this form to register your customer’s warranty and apply for your SPIF.
Forms must be submitted within 30 days of eligible sale. Please allow up to 8 weeks for payment.

Customer Warranty Registration

Customer Name *

First

Last

Customer Email

Confirm Email

Customer Phone Number

Customer Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Product VIN # *

Purchase Date *

SPIF Information

Product and SPIF Amount (Includes Engineered Solutions Models) *

Dealership Name *

Sales Person's Name *

Sales Person's Email *

Confirm Email

SPIF Payee (default payment will be issued as a check via USPS. If you would like payment via ACH and have not already requested it, please contact [email protected] and ask for the ACH form) *

Dealership
Sales Person

Bill of Sale - eligible within 30 days of sale (program effective 3/31/23 - present) *

Click or drag a file to this area to upload.

If this is your first time applying for a SPIF, please upload a W-9:

Click or drag a file to this area to upload.

If there are details special to your submission, please inform us here:

Name

This promotion is subject to change without notice. Forms must be submitted within 30 days of eligible sale. Forms submitted after 30 days are not eligible for these promotions and payment will not be issued.