Navico Owners Support Program - System Orientation Claim Form (for Factory-Installed Products Only)
Equipment must be factory installed to be eligible. 
Claim forms must be submitted within 30 days of orientation. 
Maximum amount payable per boat:  $250
 
Be sure to attach a copy of the boat dealer's Bill of Sale; Invoice must be attached to determine if it is factory-installed.  Otherwise, claim will be denied.  This offer is NOT for Dealer-installed products.
 
For problems with products/installations call Navico support line at 800-324-4737.
 
For any questions regarding this program, or for feedback regarding this form, please email sis@navico.com.

DEALER INFORMATION

VESSEL OWNER INFORMATION

VESSEL INFORMATION

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PRODUCT INFORMATION

Select the product claimed from the drop down list and then enter the quantity.  Once you make your selection the serial number field will appear. You must enter a serial number for each product installed.
If you need to remove a line, click the drop down and go to the very top where there is a blank selection and then remove the quantity.
 
Serial Number *
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Serial Number *
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Serial Number *
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Serial Number *
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Serial Number *
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Serial Number *
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Serial Number *
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Serial Number *
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OSP SYSTEM ORIENTATION CHECKLIST

DEMONSTRATE THE FOLLOWING

AIS

 *

INSTRUMENTATION

 *

MULTI-FUNCTION DISPLAYS (MFDs)

 *
ALARMS *
WAYPOINT FUNCTION *

PILOTS

 *

RADAR

 *

SONIC HUB

 *

SOUNDER (Including Structure, Forward & Chirp)

 *
ALARMS *

VHF

 *

The undersigned acknowledge training and/or system evaluation has been provided per the terms of the Owners Support Program.

Technician Signature *
clear
Owner/Agent Signature *
clear
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CLAIM FORM TOTALS

Current Claim Total: (click Calculate after entering all products installed. If over $200, please adjust your claim before submitting or your claim will be denied.)
$0.00
NOTE:  Once you hit "Continue", the total on the following page is the amount that will be submitted to Navico for review/approval/payment.  Please ensure the form is accurate before hitting the "Confirm Claim/Rebate" button.  If changes are needed, click the "Back" button.  Once you hit "Confirm Claim/Rebate", you will receive a Confirmation message with your reference number.  Please be sure to keep track of this number as this will appear on your check when claims are paid.  You also have the option to print the claim information for your records.  You should expect to receive payment for valid claims within one  week of submission.
Document #600F4, Rev C, 01/01/19