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13F-4158 (06/17)
©2017 Daikin Applied • (800) 432-1342 •
www.DaikinApplied.com
Rooftop
Equipment Warranty Registration Form
To comply with the terms of Daikin Applied Warranty, complete and return this form
within 10 days to the Warranty Department of Daikin Applied.
Check, test, and start procedure for Rooftop roof mounted air conditioners with or without heat
recovery and roof mounted air handlers.
GENERAL INFORMATION
Job Name:
____________________________________________________________
Unit No.: _______________________________
SOI No.:
________________________________
Installation address:
_____________________________________________________________________________________________
City:
_________________________________________________________________
State:
_________________________________
Purchasing contractor:
___________________________________________________________________________________________
City:
_________________________________________________________________
State:
_________________________________
Name of person doing start-up:
____________________________________________________________________________________
Company name:
________________________________________________________________________________________________
Address:
______________________________________________________________________________________________________
City/State/Zip:
__________________________________________________________________________________________________
UNIT INFORMATION
Unit model number:
____________________________________________________
Unit serial number:
______________________
Compressor 1 model number:
____________________________________________
Serial number:
__________________________
Compressor 2 model number:
____________________________________________
Serial number:
__________________________
Compressor 3 model number:
____________________________________________
Serial number:
__________________________
Compressor 4 model number:
____________________________________________
Serial number:
__________________________
Compressor 5 model number:
____________________________________________
Serial number:
__________________________
Compressor 6 model number:
____________________________________________
Serial number:
__________________________
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113
IM 1058-8 • MAVERICK II ROOFTOP SYSTEMS
