Zimmer Biomet Bone Cement Warranty Enrollment Form

To enroll in the Zimmer Biomet Bone Cement Warranty program ("Warranty"), please complete this form and, along with the most recent Zimmer Biomet Invoice to your hospital or facility, submit both of these documents as indicated in the submission process outlined here.

To be a part of the Warranty, each hospital and facility (collectively, "Hospital") will need to enroll independently. 

Hospital Information:

Hospital Information:


I understand and agree that the Warranty will go into effect and remain in effect only in accordance with its terms and conditions, available at

  • I understand and agree that only such terms and conditions can fully describe the provisions, terms, conditions, limitations and exclusions of the Warranty.
  • I agree to the terms and conditions set forth in the Warranty as if set forth fully herein.
  • I understand and agree that Zimmer Biomet may contact me at the information above to confirm the accuracy of any information provided in connection with a Warranty claim.
  • I certify that the physicians performing knee replacement surgeries at the Hospital would, at all times, remain responsible for determining whether any of the products covered by the Warranty is medically necessary and clinically appropriate for a particular patient

Enrollment is effective as of the date submitted to

Hospital Information: