Warranty Claim Form

Warranty Claim Form
Contractor Information
Contractor Name*
Contractor Location*

Street Address

Street Address Line 2

CityState

Zip Code
Contractor Email
Technician Doing Warranty

First NameLast Name
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.
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.

YesNo
Unit Serial #*
Unit Model #*
When was the unit installed?

YearMonthDay
The part you are returning is:*

An original part (Never been replaced before / It came with the unit)Part has been previously replaced or is bad out of the boxNot part of a piece of equipment (Thermostat, UV light, etc.)
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
What is wrong with the failed part?*
When did the part fail?*

YearMonthDay
Have you spoken with Tech Support?*

YesNo
Tech Support Case Number
Does the replacement part have a serial number? Coil, compressor, etc.

YesNo
Failed Part Serial Number*
New Part Serial Number*
Failed Part Model Number*
New Part Model Number*
Failed Part Return Method:*

Johnstone route pick upCustomer to drop off at JohnstoneShipped to store (UPS, Speedee, etc.)
If possible please attach a copy of this form or a note to the parts being returned.
You will receive a copy of this form if you provided an email address 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: