AUTHORIZED DEALER - GENERAL INFORMATION FORM€¦ · N/A General Tools Volt Meters – Analog and Digital a N/A General Tools Welding Equipment a N/A General Tools Shop or Truck Compressed

AUTHORIZED DEALER - GENERAL INFORMATION FORM

Distributors must fill in all information in all fields below for dealer. If your Dealer has more than one location, such as

additional branches, fill in that information below. Each location, which includes branches, must be registered in K-iSS

along with a completed profile as a KESN dealer.

Distributor Name: ____________________________________ Distributor Code: _________________________

*Distributor DocuSign Signer Name________________________* Email address: _____________________________

*Person signing on behalf of Distributor. The DocuSign Agreement will be sent to this person. It must be the e-mail

address of the authorized signer.

Dealer Information – Main Location:

Dealer Name: _____________________________________________________________________

Dealer Address: ___________________________________________________________________

Dealer City, State, Zip, Country: _______________________________________________________

Phone Number: ____________________________________________________________________

*Dealer DocuSign Signer Name_______________________ *Email address:__________________________

*Person signing on behalf of Dealer and contract will go to this email.

Dealer URL/Website:___________________________________________________________________________

Dealer Branch Locations:

Dealer Branch Address(1): ______________________________________________________________

Dealer Branch City, State, Zip, Country: __________________________________________________

Phone Number: _____________________________________________________________________

Dealer Branch Address(2): ______________________________________________________________

Dealer Branch City, State, Zip, Country: ___________________________________________________

Phone Number:______________________________________________________________________

Dealer Branch Address(3): ________________________________________________________________

Dealer Branch City, State, Zip, Country: ___________________________________________________

Phone Number:_______________________________________________________________________

Dealer Branch Address(4): _________________________________________________________________

Dealer Branch City, State, Zip, Country: ____________________________________________________

Phone Number: ________________________________________________________________________

Dealer Branch Address(5): _________________________________________________________________

Dealer Branch City, State, Zip, Country: ____________________________________________________

Phone Number: ________________________________________________________________________

Pre-Agreement Document

Service and Training Information (One form per dealer location)

ALL FIELDS REQUIRED:

Dealer Name: Dealer Code( For KEA Use Only):

Address: Website URL:

City, State, Zip, Country

Distributor name Distributor Code:

Dealer Type: Choose one:

☐ Full Service (Capable of servicing all engine and machine types in sections 1 and 2)

☐ Specialized (Complete sections 1 and 2. If OEM specific, complete section 3)

1. Which engine type(s) will you service? Choose all that apply

☐ Mechanical Diesel Engines

☐ Spark Ignited Engines

☐ Electronic Diesel Engines

☐ Kubota Generators

2. Select all machine types serviced

☐ Agriculture

☐ Air Burner

☐ Air Compressor

☐ Aux Power Unit

☐ Asphalt Roller

☐ ATV Utility

☐ Boring / Trencher

☐ Carpet Cleaner

☐ Compaction

☐ Concrete Saw

☐ Construction Heater

☐Floor Finishers

☐ Forklift

☐ Generator

☐ Ground SupportEquipment

☐ Ice Resurfacer

☐ Lift

☐ Light Tower

☐ Mariner Propulsion

☐ Mulcher/Seeder

☐Oil & Gas

☐ Paver

☐ Pressure Washer

☐ Pump

☐ Rubber Track Carrier

☐ Saw Mill

☐ Skidsteer

☐ Stump Grinder

☐ Sweeper

☐Tractor/ Loader/Backhoe

☐ Trowel TruckAuxiliary

☐ Turf (Grass Cutting)

☐ Vacuum Pump

☐ Welder

☐ Wood Chipper

3. Indicate Specific OEM equipment brand(s) with Kubota engines you SERVICE and SELL.

OEM Name Service Sell

☐ ☐

☐ ☐

☐ ☐

☐ ☐

☐ ☐

☐ ☐

Contact List and eLearning Registration Form

Dealer Name: Dealer Code( For KEA Use Only):

It is required for at least one Service Technician to be enrolled in the Kubota Engine Academy Certified Skilled Technician Program (level 300). *

Employee’s Full Name

Employee’s Company Email Address

Current Job title Service Technician

Employee’s Phone Number

Enroll me in Kubota Engine Academy eLearning courses (level 300)

YES ☐ NO

Language: ☐ English ☐ Spanish ☐ Portuguese

*If you cannot complete the above at time of submitting pre-agreement documents you should email requiredinformation to [email protected] as soon as possible.

REQUIRED: List at least one contact person (Above). Optional: Include anyone wanting access to eLearning courses

(Below).



Current Job title ☐Service Technician ☐Sales ☐Engineering ☐Warranty

☐Training ☐Warehouse ☐Principal ☐Parts

☐Compliance ☐Administrator ☐Dealer Development


Enroll me in Kubota Engine Academy

eLearning courses. ☐ YES ☐ NO













Current Job title: ☐Service Technician ☐Sales ☐Engineering ☐Warranty


































KUBOTA ENGINE AMERICA CORPORATION DEALER TOOLING

Distributor Name: Dealer Name:

Yes-Own Yes-Rent No

N/A General Tools Battery Booster Chargera

N/A General Tools Benches and Dedicated Work Area rec. 40' x 40'a

N/A General Tools Bore Scopea

N/A General ToolsCompression Tester w/ Adapters Including CR Engines

a

N/A General Tools Coolant Refractometera

N/A General Tools Cooling System Pressure Testera

N/A General Tools Digital Cameraa

N/A General ToolsElectrical Repair Kit – Soldering Iron, Heat Gun,

Heat Shrink, Kubota Repair Connectorsa

N/A General ToolsElectrical System Analyzer e.g. Sun Vat 40 or Equivalent w/ Amp Clamp

a

N/A General Tools Electrical Test Light ‐ Circuit Testera

N/A General Tools Engine Measurement ‐ Cylinder Bore Gaugea

N/A General ToolsEngine Measurement ‐ Feeler Gauges w/ Metric and Inches

a

N/A General Tools Engine Measurement ‐ Micrometer set: 0~6"a

N/A General ToolsEngine Measurement ‐ Straightedge (long enough for cylinder heads and blocks)

a

N/A General Tools Engine Measurement ‐ Vernier Calipera

N/A General ToolsEngine Special Tool Set per WSM for Each Engine Series

a

N/A General Tools Engine Standa

N/A General Tools Fork Lifta

N/A General Tools Fuel Pressure Gauge ‐ EFI Gasolinea

N/A General Tools Hydraulic Press and Gear Puller Seta

N/A General Tools Jib Crane or Equivalenta

N/A General Tools Kubota Signage – Buildinga

N/A General Tools Laptop PC and Internet Connectiona

N/A General Tools Low Pressure Fuel Pressure‐Vacuum Gaugea

Kubota ref number in

the WSM Illustration Vendor Tool Part Number Tool function

Fill out if dealer has this tool

(Y/N)

Standard

Tools

Generator

Tools

Diagnostics

(CI)

Diagnostics

(SSI / LSI)NSM 03 Series V2607 V3307 V3800CR-T



Yes-Own Yes-Rent No




(Y/N)

Standard

Tools

Generator

Tools

Diagnostics

(CI)

Diagnostics


N/A General ToolsMachine Transporter, Jacks, Engine Hoists & Slings or Equivalent

a

N/A General Tools Mechanic’s Tool Set and Storagea

N/A General Tools Mobile Service – Truck or Vehicle w/ Signagea

N/A General Tools Nozzle Testera

N/A General Tools Oil Pressure Guage ‐ Manuala

N/A General Tools Strobe Lighta

N/A General Tools Tachometer Diesela

N/A General Tools Tachometer Gasolinea

N/A General Tools Torque Wrenches 1~400 Nma

N/A General Tools Vibration Metera

N/A General Tools Volt Meters – Analog and Digitala

N/A General Tools Welding Equipmenta

N/A General Tools Shop or Truck Compressed Aira

N/AHIOKI E.E. CORPORATION 9772 Pin Lead

a

N/AHIOKI E.E. CORPORATION C1006 Case

a

N/AHIOKI E.E. CORPORATION RM3548 Resistance Meter

a

N/AONO SOKKI CO.,LTD. HT-6200 Digital Engine Tachometer

a

N/ASanwa Electric Instrument Co., Ltd. CD772 Digital Multimeter

a

N/ASanwa Electric Instrument Co., Ltd. DCM600DR Digital Clamp Meter

a

N/ASanwa Electric Instrument Co., Ltd. PDM508S Insulation Resistance Tester

a

N/A SUPERTOOL SSP 8Shock Speed Puller Set.For disassembly of stator & rotor

a

N/A TONE CO., LTD. 500AD Tool Seta

N/A TONE CO., LTD. MWLN50 Torque Wrencha

N/A TONE CO., LTD. T3LN50 Torque Wrencha



Yes-Own Yes-Rent No




(Y/N)

Standard

Tools

Generator

Tools

Diagnostics

(CI)

Diagnostics


N/A KEA 1J423-90011 DST‐I Interface – DiagMaster, CI, Common Raila

N/A KEA EG523-90061 E‐Com – EDIS, SIa

Adapter K-Line KBT3600LL ZL600, Z1100-Aa

Adaptor K K-Line KBT3600YY Compression test adaptera

Adaptor L K-Line KBT3600JJ D950, D902: D722, D1105, V1505a

Adaptor M K-Line KBT3600BB V2003, V2203a

3EEADAB1P066A K-Line KBT3600-5 Glow plug compression tester (any numbers?)a

3TMABAB0P066A K-Line KBT100004-1 Piston wrist pin bushing remove/install toola

3TMABAB0P066A K-Line KBT100004-2 Idler gear bushing install/remove toola

3TMABAB0P067E K-Line KBT100005 Flywheel Stoppera

3TMABAB0P068A K-Line KBT100006 Crankshaft bearing installation tool & removal toola

3EEAGACOP002A K-Line N/A-Picture on site Flywheel Housing Oil Seal Replacing Toola

3EEAGACOP003A K-Line KBT500039 Valve Bridge Shaft Replacing Toola

3EEAGACOP005A K-Line KBT500041 Crankshaft Aligning Platea

3EEAGACOP006A K-Line KBT500042 Flywheel Housing Guidea

3EEAGACOP007A K-Line KUB03-04001 Glow plug compression tester (Try part #)a

.276 H.S. VALVE GUIDE REAMER K-Line KL1214 Valve guide reamer - intake and exhaust

a

3EEABAB1P038C K-Line KBT500011 Idler Gear bushing replacement toola

3EEAGAA0P003B K-Line KBT500016 Camshaft cover replacing toola

3EEAGAA0P006B K-Line KBT500015 Valve bridge replacing toola

3EEAGAA0P009B K-Line KBT3600WW Glow plug compression adaptera

3EEAGAA0P010B K-Line KBT500021 Injection pump gear puller - use with 154-6360a

3EEAGAA0P013A K-Line KBT500024 Governor connecting rod jiga

3EEABAB1P038A K-Line KBT500025 Idler gear remove & install toola



Yes-Own Yes-Rent No




(Y/N)

Standard

Tools

Generator

Tools

Diagnostics

(CI)

Diagnostics


3EEABAB1P040A K-Line KBT500026 Gear case oil seal installation toola

3EEABAB1P043A K-Line KBT500030 Flywheel Stoppera

9Y1210478GES005A K-Line KBT500035Site calls camshaft position sensor air gap tool Crankshaft position sensor air gap tool

a

9Y1210478GES007A K-Line Part of KBT500035Site calls camshaft position sensor air gap tool Crankshaft position sensor air gap tool

a

9Y1210682GEG001A K-Line KBT3600VV Compression test adaptera

PADP_Pre agreement document instructionsDistributor Check List_Nov1Dealer general information form_NovDealer Contract Training Requirements_NovUS TOOL LIST_Nov

Email address: Dealer Branch City State Zip Country: Dealer Branch City State Zip Country_2: Phone Number: Phone Number_2: Distributor Code: Email address_2: Phone Number_3: Dealer Branch Address3: Phone Number_4: Dealer Branch City State Zip Country_3: Dealer Branch City State Zip Country_4: Full Service Capable of servicing all engine and machine types in sections 1 and 2: OffSpecialized Complete sections 1 and 2 If OEM specific complete section 3: OffMechanical Diesel Engines: OffSpark Ignited Engines: OffElectronic Diesel Engines: OffKubota Generators: OffAgriculture: OffAir Burner: OffAir Compressor: OffAux Power Unit: OffAsphalt Roller: OffATV Utility: OffBoring Trencher: OffCarpet Cleaner: OffCompaction: OffConcrete Saw: OffConstruction Heater: OffFloor Finishers: OffForklift: OffGenerator: OffGround Support: OffIce Resurfacer: OffLift: OffLight Tower: OffMariner Propulsion: OffMulcherSeeder: OffOil Gas: OffPaver: OffPressure Washer: OffPump: OffRubber Track Carrier: OffSaw Mill: OffSkidsteer: OffStump Grinder: OffSweeper: OffTractor Loader: OffTrowel Truck: OffTurf Grass Cutting: OffVacuum Pump: OffWelder: OffWood Chipper: OffOEM Name Service SellRow1: OEM Name Service SellRow2: OEM Name Service SellRow3: OEM Name Service SellRow4: OEM Name Service SellRow5: OEM Name Service SellRow6: Employees Full Name: Employees Company Email Address: Service TechnicianEmployees Phone Number: undefined_8: OffNO: OffEmployees Full Name_2: Employees Company Email Address_2: Service Technician: OffSales: OffEngineering: OffWarranty: OffTraining: OffWarehouse: OffPrincipal: OffParts: OffCompliance: OffAdministrator: OffDealer Development: OffService Technician Sales Engineering Warranty Training Warehouse Principal Parts Compliance Administrator Dealer DevelopmentEmployees Phone Number: eLearning courses: Offundefined_9: OffEmployees Full Name_3: Employees Company Email Address_3: Service Technician_2: OffSales_2: OffEngineering_2: OffWarranty_2: OffTraining_2: OffWarehouse_2: OffPrincipal_2: OffParts_2: OffCompliance_2: OffAdministrator_2: OffDealer Development_2: OffService Technician Sales Engineering Warranty Training Warehouse Principal Parts Compliance Administrator Dealer DevelopmentEmployees Phone Number_2: eLearning courses_2: Offundefined_10: OffEmployees Full Name_4: Employees Company Email Address_4: Service Technician_3: OffSales_3: OffEngineering_3: OffWarranty_3: OffTraining_3: OffWarehouse_3: OffPrincipal_3: OffParts_3: OffCompliance_3: OffAdministrator_3: OffDealer Development_3: OffService Technician Sales Engineering Warranty Training Warehouse Principal Parts Compliance Administrator Dealer DevelopmentEmployees Phone Number_3: eLearning courses_3: Offundefined_11: OffEmployees Full Name_5: Employees Company Email Address_5: Service Technician_4: OffSales_4: OffEngineering_4: OffWarranty_4: OffTraining_4: OffWarehouse_4: OffPrincipal_4: OffParts_4: OffCompliance_4: OffAdministrator_4: OffDealer Development_4: OffService Technician Sales Engineering Warranty Training Warehouse Principal Parts Compliance Administrator Dealer DevelopmentEmployees Phone Number_4: eLearning courses_4: Offundefined_12: OffEmployees Full Name_6: Employees Company Email Address_6: Service Technician_5: OffSales_5: OffEngineering_5: OffWarranty_5: OffTraining_5: OffWarehouse_5: OffPrincipal_5: OffParts_5: OffCompliance_5: OffAdministrator_5: OffDealer Development_5: OffService Technician Sales Engineering Warranty Training Warehouse Principal Parts Compliance Administrator Dealer DevelopmentEmployees Phone Number_5: eLearning courses_5: Offundefined_13: OffEmployees Full Name_7: Employees Company Email Address_7: Service Technician_6: OffSales_6: OffEngineering_6: OffWarranty_6: OffTraining_6: OffWarehouse_6: OffPrincipal_6: OffParts_6: OffCompliance_6: OffAdministrator_6: OffDealer Development_6: OffService Technician Sales Engineering Warranty Training Warehouse Principal Parts Compliance Administrator Dealer DevelopmentEmployees Phone Number_6: eLearning courses_6: Offundefined_14: OffDistributor Name: Dealer Name: Distributor Name_2: Dealer Name_2: Distributor Name_3: Dealer Name_3: Distributor Name_4: Dealer Name_4: Text3: Text4: Text5: Text6: Text7: Text8: Text9: Text10: Text11: Text12: Text13: Text14: Text15: Text16: Text17: 0: 0: 1:

1: 0: 1:

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Text19: Text21: Check Box22: 0: 0: Off1: Off2: Off

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Documents

AUTHORIZED DEALER - GENERAL INFORMATION FORM€¦ · N/A General Tools Volt Meters – Analog and Digital a N/A General Tools Welding Equipment a N/A General Tools Shop or Truck Compressed