Warranty claim - Enviroair

Project name / Name of the customer where the unit is installed*

Installation address*

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

Company name making the request*

Contact name making the request for the company*

Phone Number*

Do you have an extension number?*

Extension Number

Email*

Manufacturer*

Category of Part Requested

Bosch Serial # of Equipment*

Serial # must be 23 digits

Model # of Unit*

Serial # of Equipment*

Model # of Unit*

Installation date*

Failure Date*

Amount of parts requested?*

Name and number of the part to change*

Name and number of the part to change

File

Max. file size: 8 MB.

Details of problems and tests done to prove it is defective or Enviroair/Smith Energy order number for part already received*

Address

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

Contact Person*

Tel of Contact Person*

Are There Special Hours for Reception of Parts*

Contact Person Reception*

Tel of Contact Person Reception*

Special Requirements

Purchase Order # for follow up of warranty*

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Files

Drop files here or

Max. file size: 8 MB.

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Name

This field is for validation purposes and should be left unchanged.