Johnstone Supply Warranty Form
**I acknowledge I have to return the part within 14 days
*
I acknowledge
Tech Reference/Case Number for Unit Exchange (Required for Amana, Bosch, Fujitsu, Goodman, Source One and Unitary Products Group)Tech Reference/Case Number also required by Stylecrest and Advanced Distributor Products
Your Company's Name
*
Your Company Johnstone Supply Account Number
*
Your Name
*
First Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email
*
example@example.com
Your PO/Reference # (to appear on this credit)
*
Johnstone Supply Branch Location
*
Please Select
Sparks
Redding
Sacramento
Stockton
Modesto
Merced
Livermore
Gilroy
Salinas
Fresno
Visalia
Bakersfield
Where did the part come from? (Choose One)
*
The equipment is UNDER WARRANTY and a part(s) failed [ex: a board, motor, valve, etc.]
We purchased an item and it failed. . . . [ex: a tool, a thermostat, etc.]
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Registered Equipment & Homeowner Information
Select the equipment Manufacturer
*
Please Select
Coleman
Fujitsu
Bosch
Goodman
Other
If other, please specify manufacturer
Equipment Model Number
*
Equipment Serial Number
*
Homeowner's First and Last name or Company name serviced
*
Homeowner's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Installation Address - Required for all warranty claims.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Installation & Failure Information
Original Equipment Installation Date
*
-
Month
-
Day
Year
Date
Equipment Failure Date
*
-
Month
-
Day
Year
Date
Who was the installing contractor?
*
We were the installing contractor
We DID NOT install this equipment
Where Was The Equipment Purchased?
*
The equipment was purchased from Johnstone
The equipment was NOT purchased from Johnstone (a fee will be added)
Unknown (a fee may be added, we will check the serial number)
Detailed Reason for Failure
*
Did a compressor fail?
*
Yes
No
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Equipment Warranty Part #1
FAILED PART #1 - Please enter the Manufacturer number and/or Johnstone Part Number
*
REPLACEMENT PART #1 - Please enter the Manufacturer number and/or Johnstone Part Number
*
(Optional) REPLACEMENT PART #1 PURCHASE - Please enter your PO or Invoice number to help us find the correct purchase to credit
(Optional) Attach additional files or photos
Browse Files
Drag and drop files here
Choose a file
Cancel
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Do You Want To Submit Additional Parts For Warranty?
*
Please Select
No
Yes
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Equipment Warranty Part # 1
FAILED COMPRESSOR - Please enter the Manufacturer number and/or Johnstone Part Number
*
Please Provide Serial Number Of Failed Compressor
*
REPLACEMENT COMPRESSOR - Please enter the Manufacturer number and/or Johnstone Part Number
*
Please Provide Serial number Of Replacement Compressor
*
I acknowledge that the compressor needs to be crimped and sealed (brazed shut) upon return. (cannot use compressor rubber plugs from old compressor)
*
I acknowledge
Upload FAILED Compressor Model & Serial Tag Photos
*
Browse Files
Drag and drop files here
Choose a file
* Model and serial tag photos are required for compressor claims *
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Do You Want To Submit Additional Parts For Warranty?
*
Please Select
No
Yes
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Warranty Part #1
FAILED PART #1 - Please enter the Manufacturer number and/or Johnstone Part Number
*
Is Part #1 A Honeywell Thermostat?
*
Please Select
No
Yes
Manufacturer Date Code - often stamped on product (Required for Honeywell claims).
*
This is a 4-Digit Number Code
Detailed Reason For Part #1 Failure
*
REPLACEMENT PART #1 - Please enter the Manufacturer number and/or Johnstone Part Number
*
(Optional) REPLACEMENT PART #1 PURCHASE - Please enter your PO or Invoice number to help us find the correct purchase to credit
Part #1 Original Installation Date
*
-
Month
-
Day
Year
Date
Part #1 Failure Date
*
-
Month
-
Day
Year
Must be within 12 months of installation***
(Optional) Attach additional files or photos
Browse Files
Drag and drop files here
Choose a file
Cancel
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Do You Want To Submit Additional Parts For Warranty?
*
Please Select
No
Yes
Max submissions = 4
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Warranty Part #2
FAILED PART #2 - Please enter the Manufacturer number and/or Johnstone Part Number
*
Is Part #2 A Honeywell Thermostat?
*
Please Select
No
Yes
Manufacturer Date Code - often stamped on product (Required for Honeywell claims).
*
This is a 4-Digit Number Code
Detailed Reason For Part #2 Failure
*
REPLACEMENT PART #2 - Please enter the Manufacturer number and/or Johnstone Part Number
*
(Optional) REPLACEMENT PART #2 PURCHASE - Please enter your PO or Invoice number to help us find the correct purchase to credit
Part #2 Original Installation Date
*
-
Month
-
Day
Year
Date
Part #2 Failure Date
*
-
Month
-
Day
Year
Must be within 12 months of installation***
(Optional) Attach additional files or photos
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do You Want To Submit Additional Parts For Warranty?
*
Please Select
No
Yes
Max submissions = 4
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Warranty Part #3
FAILED PART #3 - Please enter the Manufacturer number and/or Johnstone Part Number
*
Is Part #3 A Honeywell Thermostat?
*
Please Select
No
Yes
Manufacturer Date Code - often stamped on product (Required for Honeywell claims).
*
This is a 4-Digit Number Code
Detailed Reason For Part #3 Failure
*
REPLACEMENT PART #3 - Please enter the Manufacturer number and/or Johnstone Part Number
*
(Optional) REPLACEMENT PART #3 PURCHASE - Please enter your PO or Invoice number to help us find the correct purchase to credit
Part #3 Original Installation Date
*
-
Month
-
Day
Year
Date
Part #3 Failure Date
*
-
Month
-
Day
Year
Must be within 12 months of installation***
(Optional) Attach additional files or photos
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do You Want To Submit Additional Parts For Warranty?
*
Please Select
No
Yes
Max submissions = 4
Back
Next
Save
Warranty Part #4
FAILED PART #4 - Please enter the Manufacturer number and/or Johnstone Part Number
*
Is Part #4 A Honeywell Thermostat?
*
Please Select
No
Yes
Manufacturer Date Code - often stamped on product (Required for Honeywell claims).
*
This is a 4-Digit Number Code
Detailed Reason For Part #4 Failure
*
REPLACEMENT PART #4 - Please enter the Manufacturer number and/or Johnstone Part Number
*
(Optional) REPLACEMENT PART #4 PURCHASE - Please enter your PO or Invoice number to help us find the correct purchase to credit
Part #4 Original Installation Date
*
-
Month
-
Day
Year
Date
Part #4 Failure Date
*
-
Month
-
Day
Year
Must be within 12 months of installation***
(Optional) Attach additional files or photos
Browse Files
Drag and drop files here
Choose a file
Cancel
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**I acknowledge I have to return the part within 14 days
*
I acknowledge
Method Of Return:
*
Johnstone Route Pickup
Customer Drop Off
Are You Currently at the Johnstone Branch
*
Yes
No
Scheduled Pickup By Johnstone Driver
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Notes or Additional Comments
I.E.MFG technical support case number, request for pickup of warranty item (on JSroute only), etc...
DateTime
*
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