Johnstone Supply Warranty Claim Form

Warranty Claim Form
If possible please attach a copy of this form or a note to the parts being returned.
You will receive a printable copy of this form at the email address provided below.

Credits will be issued shortly after the parts are received.
Contractor Information
Contractor Name
Contractor Location

Street Address

Street Address Line 2

CityState

Zip Code
Contractor Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Contractor Email
Technician Doing Warranty

First NameLast Name
Technician Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Primary Johnstone Location
Johnstone Account Number
If known
Submission Date

YearMonthDay
Customer Information
Customer Name
Homeowner or Business
Customer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Customer Address

Street Address

Street Address Line 2

CityState

Zip Code
Part Information
Failed Part #
Replaced with Part #
Is the part intended for equipment with a serial number? Furnace, condenser, coil, etc.
Unit Serial #
Unit Model #
When was the unit installed?

YearMonthDay
The part you are returning is:
Original Part:

Have you checked to make sure they are still the original homeowners? The name must be the registered homeowner, not the tenant. Addresses and names are now being verified. Is the equipment still in warranty? Call us if you need it checked.
Replaced Previously / Bad Out of Box:

If the part goes into a piece of equipment the serial and model numbers are still required even if it was only installed for a few minutes or was bought for the unit but was bad out of the box.
Date the failed part was purchased

YearMonthDay
Date the failed part was installed

YearMonthDay
What is wrong with the failed part?
When did the part fail?

YearMonthDay
Have you spoken with Tech Support?
Tech Support Case Number
Does the replacement part have a serial number? Coil, compressor, etc.
Failed Part Serial Number
New Part Serial Number
Failed Part Model Number
New Part Model Number
Failed Part Return Method:
Additional Notes
If possible please attach a copy of this form or a note to the parts being returned.
You will receive a printable copy of this form at the email address provided above.

Credits will be issued shortly after the parts are received.
Should be Empty:

Warranty Claim Form

Contractor Information

Customer Information

Part Information

Original Part:

Replaced Previously / Bad Out of Box: