FORMULAIRE DE RÉCLAMATION EN

Claim form - service call effectued

Date *

This form must be completed and accompany the parts to return.

Note: A copy of the original invoice of the customer and an invoice for the work must accompany this form or your application will not be processed and no refund will be made.

Unit model number *

Serial number *

Information du client

Purchase date *

Repair date *

Customer informations

Customer name *

E-mail *

Address *

City *

Province *

Zip code

Phone *

Retailer informations

Retailer *

E-mail *

Adress *

City *

Province *

Zip code *

Phone *

Contact *

Description of the problem *

Work performed *

Parts to return

Part to return 1 *

Part to return 2

Part to return 3

Labor

Yes

Amount requested *

(Please see table of time allowance for repairs)

The unit is in good working order now *

Soumettre

PROCESS CLAIM FOR A SERVICE CALL PERFORMED

Amount allocated for travel: 25.00$

Amount allocated to the workforce: 82.00$/ hour

( Please see table of time allowance for repairs)

The refund request must be accompanied by the following :

Application form for credit service call performed (Includes all the information requested on the form).
Copy of invoice your client including model & serial number of the device.
Work Order
- All requests for refunds of service calls should be sent to us no more than 30 days from the date when the service call was made.
- Refund requests will be processed and approved if credited directly to your customer file.

Time allowance for repairs

Time Allocation for Repairs

Repair effected / parts	Time allowed for repairs
Diagnostic	1 hour
Change heatpump	1 hour
Condenser Base	3 hours
Collar	45 min.
Compressor	3 hours
Starting Capacitor	30 min.
Running Capacitor	30 min.
Complete Capacitor	3 hours
Contactor	1 hour
220 Volt Contactor	1 hour
Digital Control	45 min.
Condenser Top	3 hours
Dehydrating Filter	2 hours
Water leakage	30 min.
2.50" Stainless Steel Pressure Gage	30 min.
Fan Motor	1 hour
Low Pressure Protection	30 min.
Flow Protection	30 min.
High Pressure Protection	30 min.
Pressure Relay	30 min.
De-icing Sensor	30 min.
Temperature Sensor	30 min.
Transformer	30 min.
Expansion Valve	2 hours
Fan	30 min.
Pilot Lamp	30 min.