Heat Exchanger Claim Form

Please Read

 

This claim form is for GB142 or GB162 Heat Exchangers. All other heat exchanger claims can entered using the defective parts claim form.

You will need the following photos to submit this claim:

  • A photo of the uninstalled heat exchanger
  • A photo of the white sticker showing the serial number of the unit. Click here for an example.
Heat Exchanger Claim Form

Distributor Info

Company Address
Company Address

Unit/Part Information

Ex. GB142 Please do not enter a product number.

Photos

Maximum file size: 268.44MB

Maximum file size: 268.44MB

(An example is provided above in the Please Read section.)

Additional Information

Requesting Labor Reimbursement?
Need a labor allowance form? Scroll to the top of the page, and click “Labor Allowance” to download.

Maximum file size: 268.44MB

If you would like something added to the RMA for reference, please enter it here.

Parts Info:

For additional parts, click the "Add" button.

Contractor Information

Installation Information

Installation Address
Installation Address

Your Contact Info

Once the claim is submitted, you will receive an email with your claim #.
Your Name
Your Name
If anyone additional would like to be notified of claim status, enter their email address(es) here.