Furnace Service Termination Checklist

Furnace Service Termination Checklist
Complete this checklist to ensure a safe and thorough termination of furnace service at the property.
Customer Name
First NameLast Name
Service Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Service Termination
MonthDayYear
Date
Hour MinutesAM/PM Option
Technician Name
First NameLast Name
Furnace Model/Serial Number
Pre-Termination Meter Reading
Checklist: Select all steps completed
Were there any issues or damages found during termination?
If issues were found, please describe
Additional Notes or Recommendations
Upload photos of the furnace and surrounding area (optional)
Cancelof
Technician Signature
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