Firearm Service Request

Firearm Information

Serial Number (located on receiver)
Type of Firearm *

Select Service Type(s) (you can describe in detail once the form is submitted) *

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Dropping Shells/Double Feed

Cosmetic

Stock

Forearm

Action Binds

Sights

Choke Tube

Trigger

Firing Pin

Accuracy

Can Only Load 2 Shells

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Double Firing

Cosmetic

Stock

Forearm

Sights

Choke Tube

Trigger

Firing Pin

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Dropping Shells/Double Feed

Gun Not Cycling

Cosmetic

Stock

Forearm

Sights

Choke Tube

Trigger

Firing Pin

Accuracy

Can Only Load 1 Shell

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Dropping Shells/Double Feed

Cosmetic

Stock

Forearm

Action Binds

Sights

Choke Tube

Trigger

Firing Pin

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Cosmetic

Stock

Action Binds

Sights

Trigger

Firing Pin

Bolt Handle

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Cosmetic

Stock

Action Binds

Sights

Trigger

Firing Pin

Lever

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Gun Not Cycling

Cosmetic

Stock

Forearm

Sights

Trigger

Firing Pin

Charging Handle

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Cosmetic

Stock

Action Binds

Sights

Trigger

Firing Pin

Bolt Handle

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Cosmetic

Stock

Action Binds

Sights

Trigger

Firing Pin

Lever

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Not Loading into Magazine

Cosmetic

Stock

Sights

Trigger

Firing Pin

Bolt Handle

Accuracy

Lost Key to Gun Lock

Other

Failure to Fire

Failure to Extract Shell from Chamber

Failure to Eject Shell from Receiver

Failure to Feed Shell from Magazine

Cosmetic

Stock

Sights

Trigger

Firing Pin

Bolt Handle

Accuracy

Lost Key to Gun Lock

Other

I will send for service: *

NOTE: To ensure our ability to perform service, we always recommend sending your complete firearm.

Contact

Which address will this firearm be shipped from? *

NOTE: A firearm will only be returned to the address from which it was shipped.

Should we contact the Dealer or Firearm Owner regarding questions or charges associated with this repair? *

What was the approximate purchase date of the firearm?

Dealer Information

Dealer Company Name *
Dealer Contact First Name *
Dealer Contact Last Name *
Dealer Street Address (No PO Boxes) *
Dealer City *
Dealer State *
Dealer Zip Code *
Dealer Email Address *
Dealer Phone Number *
Upload FFL

NOTE: If you choose not to upload your FFL then you must include a copy in your shipment. Mossberg will not initiate a repair without your FFL.

Firearm Owner Information

Owner First Name *
Owner Last Name *
Owner Email Address
Owner Phone Number

Firearm Owner Information

Owner First Name *
Owner Last Name *
Owner Street Address (No PO Boxes)*
Owner City *
Owner State *
Owner Zip Code *
Owner Email Address *
Owner Phone Number *

Communication Preferences

Would you like to receive email from Mossberg about new products, sales, special offers, news and events? * Privacy Policy
Yes No

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Firearm Information

Contact

Dealer Information

Firearm Owner Information

Firearm Owner Information

Communication Preferences

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