Warranty Claim Form_english Form English E Fillable

: Pdf Warranty Claim Form English Efillable Warranty_Claim_Form_English_eFillable Forms

Open the PDF directly: View PDF .
Page Count: 1

Warranty Claim Form

Phone: (888) 341-2423

Fax: (866) 206-5581

Air Handler Condenser

Customer Name

(& Account Number):

Address:

Brand:

Model #

Serial #

Date Installed:

M / D / Y M / D / Y

Brand:

Model #

Original Invoice # Original Invoice #

Serial #

Date Installed:

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!

City: State: Zip: Phone #

Failed Part New Replacement Part

Brand:

Model #:

Serial #:

Date Installed:

M / D / Y

Brand:

Model #:

Serial #:

Replacement Part #

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)

FORM 015.1 05/14