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Warranty Claim Form
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 when 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 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: