Pentair Service Claim Form

Pentair Warranty Claim Form

All Fields must be entered
Date work completed*

MonthDayYear
Date
Name of tech who performed work*
Customer Name*

First NameLast Name
Problem Description*
Product Group*
Problem Code*
Must be picked from Pentair code list - If additional codes list in additional notes at end of form
Fault/Error Code*
Must be picked from Pentair code list - If additional codes list in additional notes at end of form
Work Performed*
Defective Part item number*
If replaced with a different part number than the defective part number, list part number replaced with in additional notes
Part Description*
Serial Number*
Take picture of serial number and put in CompanyCam also. If no serial number on part get serial number of the unit it was removed from (example: if stackflu sensor from heater need serial number of heater)
Original Install date if known
Approximate year or if unknown leave blank
Additional Notes:
Was Tech support notified of problem*
For any whole unit replacement (pump, heater, etc. Pentair tech support must be contacted when on site to get authorization for replacement)
Tech Support Rep spoken to
Should be Empty:

Pentair Warranty Claim Form