ICP Warranty Form
WARRANTY CLAIM FORM #751
Distributor/Dealer
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Account #
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Distributor Debit #
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Location
Homeowner's Name
Address
City
Stae/Zip
Phone #
Unit Model Number
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Unit Serial Number
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Unit/Fast Part Start-Up Date
*
Unit/Fast Part Date Failed
*
Servicing Dealer
*
City:
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State/Province Postal Code
*
Phone # (with area code)
*
Claim Date
*
Distributer Claim #
WARRANTY STATUS
MAINLINE EQUIPMENT
1st Year Equipment Warranty (Mainline)
2nd Year or Greater Warranty (Mainline)
Policy Labor Allowance (Service Bulletin)
F.A.S.T. Parts Claim
No Hassle Warranty Claim
Notes
1 ) Part Number (please include manufacturer's suffix)
Failed
Replacement
Quantity
Description
Scrap
Compressor/Component Model Number
Compressor/Component Part Date Code/ Serial Number
2 ) Part Number
Failed
Replacement
Quantity
Description
Scrap
Compressor/Component Model Number
Compressor/Component Part Date Code/Serial Number
3 ) Part Number
Failed.
Replacement.
Quantity.
Description.
Scrap.
Compressor/ Component Model Number
Compressor/ Component Part Date Code/ Serial Number
DEFECT CODES
Refrigerant System
08 Evaporator Leak
09 Condenser Leak
10 Tubing - Leak
Restrition
14 Evaporator
15 Condenser
16 Tubing
Other
17 Wrong Circuiting
19 Contamination
Electrical
21 Miswired Electrical
25 Loose Connection
27 Grounded/Shorted
29 Open Winding/ Coil
31 Erractic/Intermittent Operation
33 Bunrt Contacts
41 Adjusted
43 Cleaned
No Hassle 'Only'
69 Heat Exchanger
70 Coil
71 Compressor/Electrical
72 Compressor/Mechanical
Mechanical
45 Air Leak/Cracked
47 Gas Leak
49 Oil Leak
50 Water Leak
53 Stuck/Locked Rotor
54 Runs-won't Pump
55 Vibration/Noise
56 Erratic/Intermittent
57 Improper Flame
61 Cracked
65 Corrosion
66 Rings Popping
SPECIFIED FACTORY PROGRAMS ONLY
Warranty Options and Labor Data
Operating Letter/ Service Bulletin #
Moile Home/Policy/Travel
Time Worked
Travel Roundtrip in Miles
If part is to be returned to manufactuer call Warranty at 316-263-8179 ext. 263.
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