Service Call Reimbursement

Request reimbursement for service calls. Our team is here to help you complete your request and answer questions.

Service Call Reimbursement Form

Service Company Information

Customer Information

Service Details

Part Details

Work Description

Reimbursement Details

Reimbursement is provided for replacing a defective water heater flex and the work involved for returning to the installation sight to re-service the customer's failed flex and replace with non-defected item. This is to be paid individually per each return service made to replace defective item.

$150.00

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$

Signatures

Service Person

Manufacturer Representative