Please complete the following information and return it with the part request
Contractor / Distributor / Rental Provider Name: Date:___________________
Address:
Unit #
City:
Prov.
Postal Code:
Phone #
Other #
Email:
Homeowner Name:
Address:
Unit #
City:
Prov.
Postal Code:
Phone #
Other #
Email:
Failed Part Number:
Replacement Part Number:
Failed Part Description
:
Reason for Failure
:
“
FAILED, NOT WORKING, DEFECTIVE” etc.,
is not acceptable and will be considered incomplete.
Incomplete warranty forms will not be accepted or considered. Only a detailed
explanation will be considered for warranty.
All parts returned must be accompanied with a completed warranty tag.
Model Number
:
Serial number
:
Date installed:
Date Failed
:
Date Serviced
:
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