Important Information Regarding Flood Damaged Heating Equipment
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Equipment Owner (homeowner/business owner) Information
Owner’s Company (if applicable)
Owner's Name
*
First*
Middle
Last*
Suffix
Street Address
*
Address Line 2
City
*
State/Province
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
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Iowa
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Pennsylvania
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
*
Country
*
United States
Canada
Phone
Email
Email is optional, but if you'd like to receive email confirmations, please provide your email address.
Installing Contractor's Information
Contractor's information are not mandatory, however you are welcome to enter as much information as possible, in order to ease warranty process.
Installing Contractor
*
Contractor Address
Contractor City
Contractor State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Contractor Postal Code
Contractor Country
United States
Canada
Contractor Phone
Contractor Email
Boiler Information
Boiler/Water Heater Serial Number
*
Please do not enter the numbers "21" if shown before the serial number. Also, enter only the numbers before the hyphen.
Boiler/Water Heater Model Number
*
Select your model
03-060
04-080
04-100
05-100
05-125
211A-04
211A-05
211A-06
211A-07
211A-08
211A-09
211A-10
211A-11
211A-12
211A-13
211A-14
63-03
63-03L
63-04
63-04L
63-05
63-05L
63-06
64-07
64-08
64-09
64-10
64-11
64-12
64-e-07
64-e-08
64-e-09
64-e-10
64-e-11
64-e-12
92-2
92-4
CC-03
CC-04
CC-05
CC-06
CC-07
CC-08
CC-09
CC-10
CC-11
CC-12
DE-03
DE-04
DE-05
DE-06
EC/ECT-03
EC/ECT-04
EC/ECT-05
EC/ECT-06
EC/ECT-e-03
EC/ECT-e-04
EC/ECT-e-05
GM-05
GM-06
GM-07
GM-08
GM-e-05
GM-e-06
GM-e-07
LC-04
LC-05
LC-05R
LC-06
LC-07
LC-08
LC-09
LC-10
LC-11
LC-12
LC-13
LC-14
MI-03
MI-04
MI-05
MI-06
MI-07
MI-08
MI-09
MI-e-03
MI-e-04
MI-e-05
MI-e-06
MI-e-07
MI-e-08
MI-e-09
MI85-03
MI85-04
MI85-05
MI85-06
MIHII-03
MIHII-04
MIHII-05
MIHII-06
PBC-34
PBC-40
PBC-52
PC160
PF-1000
PF-110
PF-140
PF-1500
PF-200
PF-210
PF-300
PF-399
PF-460
PF-50
PF-80
PF-850
PFC-1000
PFC-1500
PFC-2000
PFC-2500
PFC-3000
PFC-3500
PFC-4000
PFC-460
PFC-625
PFC-750
PFC-850
PO-70
PO-70A
PO-84
PO-84A
PP-120
PP-30
PP-30-LB
PP-40
PP-60
PP-80
PSCII-03
PSCII-04
PSCII-05
PSCII-06
PT-30
PT-40
PT-50
PT-60
PT-80
PV-120
PV-40
PV-60
PV-80
SC/SCT-05
SC/SCT-06
SC/SCT-07
SC/SCT-08
SC/SCT-09
SC/SCT-10
TCII-04
TCII-05
TCII-06
TCII-07
TCII-08
TCII-09
TCII-10
TCII-11
TCII-12
WB90-03
WB90-04
WBV-03
WBV-04
WBV-05
WBV-e-03
WBV-e-04
WBV-e-05
WV-DV-03
WV-DV-04
Boiler Install Date
*
MM slash DD slash YYYY
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