Warranty Claim

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Claim Date(Required)

P/O Num

Your Name(Required)

Your Email(Required)

Distributor Information

Company Name

Address

City State / Province / Region

Phone

Contractor/Installer Information

Company Name(Required)

Contact Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Shipping Address for Replacement

Same as Contractor/Installer?

Yes

Company Name(Required)

Contact Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Failed Equipment Type(Required)

Model #(Required)

Serial #(Required)

Install Date

Install Type(Required)

Error Code

Troubleshooting Checklist

Did your heat pump have power at the time of failure?(Required)

Yes

Is tank leaking?(Required)

Yes

Are water pipes connected correctly? Water filter clean? System pressure below 75 psi?(Required)

Yes

Have you contacted Tech Support?(Required)

Yes

Replacement Part(Required)

Problem Description(Required)

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Warranty Claim

Distributor Information

Contractor/Installer Information

Shipping Address for Replacement

Troubleshooting Checklist

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