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:
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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.