Warranty Claim Form_english Form English E Fillable

2016-12-19

: Pdf Warranty Claim Form English Efillable Warranty_Claim_Form_English_eFillable Forms

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Warranty Claim Form
Phone: (888) 341-2423
Fax: (866) 206-5581
Please return FAILED part (in replacement part packaging) with COMPLETED form within 14 days. Failure
to return within 14 days may result in loss of credit. (Note: Unit Serial Number MUST be included)
Customer Name
(& Account Number):
Address:
City:

State:

Zip:

Phone #

Air Handler

Condenser

Brand:

Brand:

Model #

Model #

Serial #

Serial #

Date Installed:

Date Installed:

M/D/Y

M/D/Y

Original Invoice #

Original Invoice #

Failed Part

New Replacement Part

Brand:

Brand:

Model #:

Model #:

Serial #:

Serial #:

Date Installed:

Replacement Part #

M/D/Y

Service Technician Name:
Signature:
Phone # (

)

Date:

All warranty A/C compressors must be crimped and sealed prior to pick up!
Drivers are instructed not to pick up unsealed compressors!
FORM 015.1 05/14



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Title                           : Warranty Claim Form_english.pdf
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