HVAC Warranty Claim Form

THIS FORM MUST BE FILLED OUT COMPLETELY AND RETURNED TO C & L SUPPLY BEFORE CREDIT CAN BE ISSUED

HVAC Information.

Dealer's Name
Home Owner's Full Name
Address
City
State
Zip
Equipment Model
Equipment Serial Number
Parts Number
Description
Old Compressor Serial Number
New Compressor Serial Number
Date of Original Installation
Date Parts Replaced
Description on Failure
Labor Allowance, if Applicable
Invoice Number
Date
Price
Your Email