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.
Contractor Email*
Technician Doing Warranty

First NameLast Name
Technician Phone #
Please enter a valid phone number.
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 #
YesNo
Unit Serial #
Unit Model #
When was the unit installed?

YearMonthDay
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
Date the failed part was installed*

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

YearMonthDay
YesNo
Tech Support Case Number
YesNo
Failed Part Serial Number
New Part Serial Number
Failed Part Model Number
New Part Model Number
Johnstone route pick upCustomer to drop off at JohnstoneShipped to store (UPS, Speedee, etc.)
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: