
WARRANTY CLAIM FORM
Date: ______________________
Distributor/Dealer Name: __________________________________________________________________
Address: ________________________________________________________________________________
City: _______________________________________ State: _________________ Zip: __________________
Phone: __________________________________________ Fax: ___________________________________
Customer’s Name: ________________________________________________________________________
Address: ________________________________________________________________________________
City: _______________________________________ State: _________________ Zip: __________________
Phone: ___________________________________________ Fax: __________________________________
Claim conditions apply and cannot exceed warranty statement and procedure policy!
Please send this form, bill of sale and pictures back to
Warranty work completed without prior authorization may be denied.
(Process from start to finish
–
When reviewing all information sent in by customer, we make sure the stove is registered in original
owners name, verify mandatory chemical was added to the system and yearly test results were sent in and came back satisfactory.
After approved you find a local welder to give an estimate to repair the stove, which we approve and tell you the percentage
covered. This warranty is prorated so it will be covered by a percentage. After you pay the bill you submit a copy and a check is
submitted back to you. Complete process usually takes 30 days. Under some circumstances, we may require furnace to be shipped
back to our facility.)
Model: ______________________________________ S/N: ________________________________________
Purchase Date: _______________________________ Install Date: ___________________________________
Description of Claim: ________________________________________________________________________
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WARRANTY CLAIN FORM
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Summary of Contents for RS7200E
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