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Tech Support Dept
Warranty Part(s) Request
**HX and Boiler replacements can be sent on this form for known issues**
Tech Support First name
*
Tech Support Last name
*
Tech Support Email
*
Project Number
If you have a project number, please indicate below
Case Number
*
Part #
*
Quantity
*
Installation Date
*
Month
/
Day
/
Year
Replacement Product Serial Number
*
Reason for Warranty Part Request
*
Full Failure Report/Description of all issues/damages
Additional Parts & Qty
Additional Serial Numbers
Shipping Method
Please Select
Saturday/ Early Morning Delivery
Shipping Authorization
Please Select
LprJ
DedM
McnG
WrgC
Contractor/Wholesaler Information
Wholesaler/Contractor Company Name
*
Contractor/Wholesaler Email
*
Address Information
*
Would you like the wholesaler/contractor to receive notification of this request?
*
Please Select
Yes
No
Ship-To Information
Full Name and Full Address
Additional Instruction
All Warranty Parts Request will be shipped out NDA automatically.
*** If you you need 'Saturday or Early Morning Delivery' please note you MUST have authorization from DedM, McnG, LprJ *** (this does not apply to Commercial Field Techs)
Small Parts Only!
HX/Full Boilers Replacements - Contractors must go directly to wholesaler
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