Labor Only Claim Form | TSS Associates Inc.

Unit Model

Unit Serial #

Date of Failure

Original Date of Install

Has a parts/unit claim already been submitted?

Yes

No

Claim #

Customer reference # (If applicable)

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

Labor Invoice

Maximum file size: 268.44MB

Do not upload a copy of the labor allowance form. Please provide the actual labor invoice only.

Describe the reason for work completed

Contractor Company Name

Contractor Phone #

Installation Application Type

Homeowner or Company Name

Installation Address

Branch # (if applicable)

Your Company Name

Company Address

Once the claim is submitted, you will receive an email with your claim #.

Your Name

Additional Emails, if applicable (separate by commas)

If anyone additional would like to be notified of claim status, enter their email address(es) here.

Your Email

Any additional information, enter here.

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TSS Associates Inc.