
JLG Industries, Inc.
TRANSFER OF OWNERSHIP
To Product Owner:
If you now own but ARE NOT the original purchaser of the product covered by this manual, we would like to know
who you are. For the purpose of receiving safety-related bulletins, it is very important to keep JLG Industries, Inc.
updated with the current ownership of all JLG products. JLG maintains owner information for each JLG product and
uses this information in cases where owner notification is necessary.
Please use this form to provide JLG with updated information with regard to the current ownership of JLG products.
Please return completed form to the JLG Product Safety & Reliability Department via facsimile or mail to address as
specified below.
Thank You,
Product Safety & Reliability Department
JLG Industries, Inc.
1 JLG Drive
McConnellsburg, PA 17233-9533
USA
Telephone: (717) 485-5161
Fax: (717) 485-6573
NOTE: Leased or rented units should not be included on this form.
Mfg. Model: __________
___________________________________________
Serial Number: ___________________________________________________
Previous Owner: _____________________________________________________________________________________
Address: ____________________________________________________________________________________________
____________________________________________________________________________________________________
Country: __________________________________ Telephone: (_______
) ______________________________________
Date of Transfer: ___________________________
Current Owner: ______________________________________________________________________________________
Address: _____________
_______________________________________________________________________________
____________________________________________________________________________________________________
Country: __________________________________ Telephone: (_______
) ______________________________________
Who in your organization should we notify?
Name: __________________________________________________________
Title: ___________________________________________________________