Air Conditioning Warranty Request Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Service address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred contact method
Phone
Email
Product type
Please Select
Split AC
Window AC
Portable AC
Central AC
Mini-split
Brand
Model number
Serial number
Indoor unit serial number
Outdoor unit serial number
Date of Purchase
-
Month
-
Day
Year
Date
Installation date
-
Month
-
Day
Year
Date
Is the unit registered for warranty?
Yes
No
Type of warranty request
Please Select
Manufacturer warranty
Extended warranty
Parts warranty
Compressor warranty
Labor warranty
Warranty registration number
Still under warranty?
Yes
No
Unknown
Installer / contractor details
Installer Company Name
Installer Company Name
Installer Email
example@example.com
Installer Number
Problem Description
Problem category
Not cooling
Not heating
Water leakage
Strange noise
Bad odor
Electrical issue
Display / error code
Remote control issue
Compressor problem
Other
Issue description
When did the issue start?
-
Month
-
Day
Year
Date
Is the unit currently operational?
Yes
No
Error code shown
Has the issue happened before?
You can upload a photo or a video of the issue here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Urgency level
Please Select
Low
Medium
High
Submit
Should be Empty: