Dealer Information

Dealer Code ___________________________ Repair Order Number _____________________

Email Address ___________________________

Vehicle Information

VIN (17 digit) __________________________________ In-service date _____/_____/_____

Vehicle Vocation/Application _____________________ Vehicle Class: 4 5 6 7 8

Mileage _______________________ mi____ km___ Failure date _____/_____/_____

Customer/Fleet name _____________________________________

Failed Clutch Information

Eaton clutch part number (installation number) ___________________________________________

Note: UltraShift transmissions with a DM clutch are handled by Automated RTW

Clutch Serial Number (Date Code) _____________________________________________________

Note: Click here for instructions on locating Clutch Serial Number (Date Code)

For Service Part Claims

Date of retail sale _____/_____/____ Mileage when clutch was installed _____________________

Diagnostics and Troubleshooting

Customer Complaint

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

Road Test Results

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

Clutch Measurements

Note: If pictures are required, email to roadranger@eaton.com. Include repair order (RO) number in subject line.

Heavy Duty Clutch – (Refer to CLSM0200 for detailed instructions on taking measurements)

1. Clutch Pedal Free Play ________________________________________________________

2. Bearing Travel (distance between release bearing & clutch brake) _____________________________

3. Clutch Brake Squeeze (use 0.010/0.25mm feeler gauge) __________________________________

4. Release Yoke Free Play (distance between release yoke tips and wear pads) ________________________

Medium Duty Clutch – (Refer to CLSM0100 for detailed instructions on taking measurements)

1. Clutch Pedal Free Play ________________________________________________________

2. Bearing Travel / Clutch Brake Squeeze

- With clutch brake:

Bearing Travel (distance between release bearing and clutch brake) ______________________________

Clutch Brake Squeeze (use 0.010/0.25mm feeler gauge) _____________________________________

- Without clutch brake:

Bearing Travel ________________________________________________________________________

(Distance between clutch cover and release bearing pedal up, A, and pedal down, B; B – A = Bearing Travel)

3. Release Yoke Free Play (distance between release yoke tips and wear pads) ____________________

Claim Information – For Dealer Use

Claim approval number: ______________________ RTW Specialist: ________________________

Parts Disposition:


Material must be returned (RTWR)
Parts not required for inspection or claim settlement (RTWS)
Do not return clutch to Eaton; see OEM guidelines for possible core value. If clutch is returned to Eaton a $100.00

shipping & administrative fee will be deducted from the total claim amount.

To check online confirmation, go to www.Roadranger.com:

1. Click on Warranty tab

2. Click on Real Time Warranty in left hand menu, scroll down to Check Claim Verification

3. Enter RTW confirmation number and click View Results

Note: For denied claims, enter OEM dealer code and repair order number to check confirmation.