Warranty Request Form
For Providence, RI and Yarmouth, MA locations only. Please make sure you have all of your information ready before starting your request.
Counter Sales Name:
Enter sales person name if submitted at the counter
Date
-
Month
-
Day
Year
Enter todays' date
Contractor Name
*
First Name
Last Name
Company Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contractor Email
example@example.com
Home Owner's Full Name
*
Home Owners Installation Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Equipment Failure Date
*
-
Month
-
Day
Year
Enter date did you identified failure
Order # if known from original purchase.
Counter sales must add original order #- contractor can leave blank if unknown
Warranty Request is for :
*
Equipment- Internal part
Part Only Purchase
Equipment Replacement
Other
Equipment Brand
*
Brand name of Equipment MFG or Part MFG on failed item
Equipment Description
*
EX: Condenser, Air Handler, Motor, Thermostat. If individual part purchase identify part type.
Equipment Model #
*
Enter the model # of the equipment you are requesting warranty parts for. If a single part purchase only- enter part Info.
Equipment Serial #
*
If Equipment enter the serial # - Some thermostats need serial #
Identify problem in detail
*
Be specific - please add details
Identify parts needed
*
Ex: Compressor, blower motor, Evap Coil, Please be specific
Please identify MFG Part #'s you are requesting under warranty (if known)
If MFG Part numbers are not available enter Johnstone Supply Part #
If requesting a compressor enter failed compressor serial number
Picture of old compressor tag will be needed- please upload tag pic at bottom of form
If requesting a compressor or condenser, provide NEW serial # This is required to submit for credit
This is the new replacement compressor serial #
Was Mfg Tech Support contacted (Not all requests require Tech Support)
*
yes
no
Other
Enter Case # or Incident # if applicable
Bosch requires a Case # for Parts or Incident # for Equiment replacement
Status of Repair
*
I need a quote for the warranty parts
I have already received a quote on parts I need
I have received my parts and made repair
Other
Provide new Sales Order # if item/s ordered or received - or insert NA
*
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