
PRODUCT QUALITY REPORT
RETURN TO TECH SERVICE DEPARTMENT
Eric Kravitz Fax: 717-928-2069  |  Josh Wheale Fax: 717-928-2059
INSPECTION INFORMATION
Date ______________________________________________   Job Name ____________________________________________________
Dealer Name _______________________________________   Dealer Phone # ________________________________________________
Contact Person _____________________________________   Equipment Manufacturer ________________________________________
EQUIPMENT INFORMATION
Outdoor Model #  ___________________________________   Outdoor Serial # _______________________________________________
Outdoor Mfg# ______________________________________   Outdoor Serial #2 ______________________________________________
Furnace Model # ____________________________________   Furnace Serial #  _______________________________________________
Furnace Mfg # ______________________________________   Furnace Serial #2  ______________________________________________
Coil Model # _______________________________________   Coil Serial # ___________________________________________________
Coil Mfg # _________________________________________   Coil Serial #2 __________________________________________________
Install Date  _______________________________________
DESCRIPTION OF PROBLEM
Please include as much detail as possible. If there are multiple serial numbers, please list each one individually. Please document all the 
service data available and include pictures if there are any.
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QUESTIONS?  CALL US AT 800-228-4822 x5 OR EMAIL TECHSUPPORT@HVACDIST.COM