CE Mid-Atlantic Site Visit Request Form Please enable JavaScript in your browser to complete this form.Please read before completing this site visit request formIMPORTANT: Prior to scheduling a site visit an effort must be made to resolve the problem by the dealer's service technician/service manager by visiting the site and gathering the necessary diagnostic information. The dealer’s technician must telephone the Carrier/Bryant Distributor Service Representative at 1-866-902-4822 Option 3 from the jobsite and describe the problem in detail. The service technician must perform the steps that the Distributor Service Representative requests during telephone call.Email *FeeThere is a $300.00 per system fee for any jobsite visit requested. For those Customers who have charge accounts with CE, a purchase order (PO) will need to be issued in the amount of $300.00 per system at the time of scheduling the site visit or job inspection. COD Customers will need to contact a store, or call Customer Service and pre-pay the $300.00 per system fee for the site visit in advance of scheduling, and will need to provide the invoice number when requesting the site visit.Tech Support Contact - Are you already working with a technician? Please select from the list below to reach out to them directly. *Not currently working with anyoneJack CauffmanJoe BryantEd GreerJoe KollerBrooks WhitsonMichael SquiresTom TalleyMary Ann LindholmIf you have been working with a specific technical support representative on this job select their name from the list below. If not select "Group".Dealer informationCompany Name *Company 6 Digit Account Number *Customers without an account number use account #991122Service Manager Name *Service Manager Phone Number *Service Manager Email *Has your company's Service Manager visited this jobsite? *YesNo*NEEDS WORK* Has a "Field Assist Form been completed for this issue? *YesNoIf "No" please select the proper form on the confirmation page and complete it in order for the site visit to be performed.Job Site InformationJobsite - Customer Name *Jobsite Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEquipment InformationOutdoor Unit/Package Unit Model Number *Outdoor Unit/Package Unit Serial Number *Outdoor Unit/Package Unit Startup Date *Indoor Furnace/Fan Coil Unit Model Number *Indoor Furnace/Fan Coil Serial Number *Indoor Furnace/Fan Coil Startup Date *Indoor Evaporator Coil Model Number *Indoor Evaporator Coil Serial Number *Indoor Evaporator Coil Startup Date *Thermostat or Control Brand *Thermostat Model *Thermostat SerialThermostat Startup DateIf Infinity/Evolution, Software Version *Description of problem *Scheduling OptionsIMPORTANT! Dealer Service Manager and/or Owner must be present during any and all job site visits. A technician with all necessary tools and proper technical expertise must also be present as we provide diagnostic assistance ONLY! If the dealer service manager or owner is not present the site visit fee will not be refunded regardless of findings.Preferred date and time you would like to schedule the visit. *DateTimeAlternate date and time you would like to schedule the visit. *DateTimeFailure of the Technician and Service Manager to appear within 30 minutes of the scheduled time will result in forfeiture of the site visit fee(s) and the visit will require rescheduling. Rescheduling for a future time or date without a minimum of 24 hours notice will require the site visit fee(s) to be paid again.Purchase order for the site visit. *Provide a number or reference text here for billing even if your account is a cash account. This will provide a reference number for this request.EmailSend Message