Warranty - AC Equipment Representatives

Warranty Submission Form

A purchase order number is required for warranty submission. This purchase order number will be used to invoice any freight charges associated with this claim. If there is an associated Return Goods Authorization (RGA) and the part(s) are not returned to the address specified on the RGA within the required timeframe, the full cash sale price of the part(s) will be charged to the purchase order number. Once charged, this is non-refundable.

Purchase Order(Required)

Please enter PO#

Company Name(Required)

Please enter your company name

Contact Name(Required)

First Last

Please enter the submitter's name

Phone(Required)

Filer's Email(Required)

Please enter the primary contact email address

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter the Company Address

Office/AP Email(Required)

Please enter the office contact email address

Shipping Name(Required)

Please enter the Ship to Name

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter the Ship to Address

Freight Priority(Required)

Shipping Speed-choice of other than ground is the responsibility of the submitting party

Site Name & Location(Required)

Please enter the Name of jobsite

Brand(Required)

Model Number(Required)

Please enter Model Number

Unit SERIAL Number(Required)

REQUIRED for ALL warranties

Photo of Unit Nameplate(Required)

Accepted file types: jpg, jpeg, png, gif, svg, pdf, Max. file size: 150 MB.

FULL legible unit tag photo

Failure Date(Required)

Please enter todays date

Warranty Part(Required)

Video or Photo of unit fault(Required)

Drop files here or

Accepted file types: mov, mp4, m4v, jpg, png, heic, gif, pdf, Max. file size: 150 MB.

Photo or SHORT video showing fault for requesting warranty

Part Description(Required)

If "other" please describe part requested

Details of failure(Required)

Specific Cause for Failure