Warranty Release Form

Warranty Release Form
Job Number*
Customer*

First NameLast Name
Business*
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The above customer has declined the recommended work provided in writing by our service technician. The Customer is hereby notified that we ask you to sign this form releasing us from our 1-year parts and 30-day labor warranty that covers our service repairs. This work has been deemed necessary to keep your system running at optimum efficiency. If you have any questions feel free to ask our service technician.
Recommended service declined:*
Customer Signature*

Clear
Service Technician*
Precision Temperature
13465 Camino Canada #462
El Cajon, CA 92021
www.ptempinc.com
619-588-5321
Lic #901308
Should be Empty: