ComfortStar Warranty Claim Form

Warranty Claim Form

Distributor Information

Please enter the distributor's information below.

Distributor Name *
Distributor Email *
Phone *
Fax *
Address *
City *
State *
Province
Country *
Zip Code *

End User Information

Please provide the end user's contact information below.

Name *
Address *
City *
State *
Province
Country *
Zip Code *
Phone *

Contractor Information

Please provide the contractor's information below.

Company Name *
Address *
City *
State *
Province
Country *
Zip Code *
Phone *

Equipment Information

Please provide the brand name, model number and serial number of the product below.

Brand Name *
Model Number *
Serial Number *
Install Date *
Date Unit Serviced *
Product Type * Indoor Product Outdoor Product
Explain Failure
Maximum characters:
Was Unit DOA? * Yes No
Application
of Product * Residential Commercial Other

Operation Conditions

Please provide the product operation conditions below.

Voltage *
Average Operating Ambient Temp *
Any Obstructions to
the Condenser (shrubs, walls, other)? * Yes No
Does the unit have a field installed “low ambient kit"? * Yes No
Does the unit have a field installed condensate pump? * Yes No
Freight damage? * Yes No
Was a claim filed? * Yes No

Parts Replaced

Please tell us if any parts were replaced on the product.

Part Number
Description
Part Number
Description
Part Number
Description

Compressor/Coil/Unit Change Outs Only

Please identify any compressor, coil, or unit change outs.

Defective Model No.
Replacement Model No.
Defective Serial No.
Replacement Serial No.
Defective Part No.
Replacement Part No.