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Application must be submitted to your Distributor within 30 days of repair

Warranty Claim Form

Dealer Information (Contractor/HVAC Company)

Dealer Account Name *

CE Dealer Account# *

Distributor # *

Select your Region/Distributor # *

Name *

First

Last

Email *

Customer Information (End-user/Equipment Owner/Homeowner)

Homeowner/Owner Name *

First

Last

Homeowner/Owner Address *

Address Line 1

Address Line 2

City

State

Zip Code

Warranty Type

Warranty Type *

Standard
Stock Unit
Bulletin
Service Parts
Competitive Equipment
Preauthorization
Unit Exchange
Opt. Contract (PARTS ONLY)

Application Type

Application Type *

Owner Occupied Residential
Other Residential Application
Commercial
Installing Homeowner

Installing Homeowner *

Unit Information

Model # *

Serial # *

Equipment Install Date *

Equipment Fail Date *

Equipment Repair Date *

Optional Contract # (PARTS ONLY)

Service Bulletin/Pre-Authorization #

Parts Information

How many different parts do you need to submit for this unit? *

1st Part Information

FAILED Part

Causal Part *

This is the part that caused the initial failure (only one part applies)

Old Carrier Part # *

(Not Vendor #)

Order/Invoice #

Part S # (if applicable)

Install Date *

REPLACEMENT/NEW Part

New Carrier Part # *

(Not Vendor #)

Order/Invoice # *

Part S # (if applicable)

Install Date *

2nd Part Information

2nd FAILED Part

Causal Part *

This is the part that caused the initial failure (only one part applies)

Old Carrier Part # *

(Not Vendor #)

Order/Invoice #

Part S # (if applicable)

Install Date *

2nd REPLACEMENT/NEW Part

New Carrier Part # *

(Not Vendor #)

Order/Invoice # *

Part S # (if applicable)

Install Date *

3rd Part Information

3rd FAILED Part

Causal Part *

This is the part that caused the initial failure (only one part applies)

Old Carrier Part # *

(Not Vendor #)

Order/Invoice #

Part S # (if applicable)

Install Date *

3rd REPLACEMENT/NEW Part

New Carrier Part # *

(Not Vendor #)

Order/Invoice # *

Part S # (if applicable)

Install Date *

4th Part Information

4th FAILED Part

Causal Part *

This is the part that caused the initial failure (only one part applies)

Old Carrier Part # *

(Not Vendor #)

Order/Invoice #

Part S # (if applicable)

Install Date *

4th REPLACEMENT/NEW Part

New Carrier Part # *

(Not Vendor #)

Order/Invoice # *

Part S # (if applicable)

Install Date *

5th Part Information

5th FAILED Part

Causal Part *

This is the part that caused the initial failure (only one part applies)

Old Carrier Part # *

(Not Vendor #)

Order/Invoice #

Part S # (if applicable)

Install Date *

5th REPLACEMENT/NEW Part

New Carrier Part # *

(Not Vendor #)

Order/Invoice # *

Part S # (if applicable)

Install Date

Quality Information

DOA Labor Repair Type *

(Labor Allowance is based on the selection of a Labor Repair Type)

Causal Code *

Select the main component that failed and the failure mode.

Accumulator Failure Modes *

Contamination – A101
Leak – A102
Restricted – A103

Actuator Failure Modes *

Gears Stripped – A201
Stuck – A202
Will not run – A203

Blower Assembly Failure Modes *

Motor failure – grounded – B201
Motor failure – open – B202
Motor failure – shorted – B203
Motor failure – noise/vibration – B204
Motor failure – thermal tripping – B205
Motor failure – wont start – B206
Motor failure – incorrect speed – B207
Mounting Issue – B208
Noise – B209
Vibration – B210
Wheel Failure – separation – B211
Wheel Failure – noise/vibration – B212

Blower Housing Failure Modes *

Corrosion – B301
Damaged – B302

Blower Shaft/Bearing Failure Modes *

Grind Shaft – B401
Loose Locking Collar – B402
Vibration – B403

Blower Wheel Failure Modes *

Separation – B501
Noise – B502
Vibration – B503
Wrong Rotation – B504

Breaker Failure Modes *

Shorted – B601

Burner, Assy, Pilot Failure Modes *

Cracked – B701
Flame retainer issue – B702
No ignition – B703
Soot – B704
Ass’y Flame roll out – B801
Ass’y Poor Combustion – B802
Ass’y Soot – B803
Pilot Dirty orifice – B901
Pilot No ignition – B902
Pilot No thermocouple output – B903
Pilot not sensing – B904

Capacitor/Hard Start Failure Modes *

Brunt – C101
Closed – C102
Open – C103
Ruptured – C104
Swelled – C105
Wrong size – C106
HS Capacitor – H201
HS PTC Failure – H202
HS Relay Failure – H203
HS Wiring – H204

Check Valve Failure Modes *

Rattling – C201
Restricted – C202
Stuck – C203

Coil Related Failure Modes *

Damage – C301
Leak – Braze Joint – C302
Leak – Corrosion – C303
Leak – Crack – C304
Leak – Fin Pack – C305
Leak – Puncture – C306
Restricted – C307

Collector Box Failure Modes *

Leak – C401
Plugged – C402

Compressor Failure Modes *

Excess cycling – C501
Leak – C502
Noise – C503
Wiring plug – burnt – C504
Wiring plug – change out – C505
Wiring plug – open circuit – C506
Wiring plug – rub – C507
Won’t Pump – C508
Won’t Shift – C509
Won’t Start – C510
Wrong Capacity – C511
Wrong Voltage – C512

Condensate Pan Failure Modes *

Broken bottom fitting – C601
Horizontal pan broken – C602
Leak – C603
Missing/deformed fitting – C604
Vertical pan broken – C605

Condensate Trap Failure Modes *

No pressure switch output – C128
Not Communicating – C129
Not pulling in contactor – C130
Not staging properly – C131
Shorted terminal strip – C132
Water damage – C133

Contactor Failure Modes *

Burnt – C901
Chattering – C902
Open – C903
Shorted – C904
Terminal Damage – C905

C BD, Cntl Bd/Term str, Mtr contr., Inv cnt VFD Failure Modes *

Motor will not shut off – C111
Burnt/open traces – C112
Compressor not operating – C113
Defrost cycle issue – C114
Failed Relays – C115
Motor not operating – C116
Fault code incorrect / wont clear – C117
Improper unit recognition – C118
Inducer will not shut off – C119
Mis-wired – C120
No accessory output – C121
No cooling blower – C122
No flame sensor – C123
No gas valve output – C124
No heating blower – C125
No HSI output – C126
No inducer output – C127
No pressure switch output – C128
Not communication – C129
Not pulling in contactor – C130
Not staging properly – C131
Shorted term strip – C132
Water damage – C133

Control Valve Failure Modes *

Not Loading – C141
Not unloading – C142

Crankcase Heater Failure Modes *

Grounded – C151
Open – C152
Shorted – C153
Temperature Switch Failure – C251

Coupling Box Failure Modes *

Cold spot baffle – Leak – C161
Cold spot baffle – Missing – C162
Cold spot baffle – Whistling – C163

Damper Failure Modes *

Bad Switch – D101
Harness miswired – D102
Will not close – D103
Will not open – D104

Electric Heat Failure Modes *

Burnt connectors – E101
Burnt wires – E102
Element open – E103
Element shorted – E104

Enhancement Module Failure Modes *

Plastic damage/crack – E201

Filter Drier Failure Modes *

Compressor replacement – F101
Leak repair – F102
Restricted – F103
System repair – F104
Choice 29
Choice 28

Gas Baffle Failure Modes *

Soot – G101

Gas Valve Failure Modes *

Leak – G201
Shorted – G202
Will not close – G203
Will not open – G204

Generator Part Failure Modes

Oil Leak – G031
Wont start – G302
Wont transfer – G303
Wont produce power – G304
Noise – G306
Corrosion – G307

Primary/Secondary Heat Exchanger Failure Modes *

Oil Leak -Corrosion – H301
Cracked – H302
Flue cover panel – H303
Hole/Void – H304

Hot water coil Failure Modes *

Leak – H501
Restricted – H502

Ignitor Failure Modes *

Alignment issue – J101
Broken – J102
Open – J103
Shorted – J104

Inducer Assembly Failure Modes *

Hall effect sensor – J201
Leak – J202
Motor failure – J203
Mounting issue – J204
Noise – J205
Vibration – J206
Wheel failure – J207

Inducer Wheel Failure Modes *

Bent – J301
Broken – J302
Corrosion – J303

Labor Only *

Compressor – L101
Motor failure – L102
Leak – L103
Unit change out – L104
Inspection – L105
Minor component – L106
Concession – L107

Limit Switch Failure Modes *

Stuck closed – L201
Stuck open – L202
Missing shield – L203

Motor Failure Modes *

Bearing issues – M101
Grounded – M102
Incorrect speed – M103
Noise – M104
Open – M105
Prop failure/seized to shaft – M106
Shorted – M107

Muffler Failure Modes *

Leak – M301

Orifice/Capillary Failure Modes *

Corrosion – K101
Wrong size installed – K102
Restricted – K103

Outdoor Fan Failure Modes *

Blade cracks – K201
Blade imbalance – K202
Hub loose – K203
Motor fail/seized to shaft – K204
Noise – K205
Vibration – K206

Piston Failure Modes *

Incorrect size – P201
Missing – P202
Plugged – P203

Power Supply Failure Modes *

No power – P301
Intermittent power/light _ P302

Pressure Switch Failure Modes *

Failed stuck open – P401
Leak – P402
Wiring – P403
Wrong location – P404

PTAC plug Failure Modes *

Incorrect plug – P501
Plug issue – P502

Pulley Failure Modes *

Corrosion – P601
Cracked – P602
Loose – P603

Pump Failure Modes *

Float stuck – P701
Leak – P702
Seized – P703
Will not pump – P704

Relay Failure Modes *

Burnt – R101
Chattering – R102
Open – R103
Shorted – R104

Relief Valve Failure Modes *

Leak – R201

Remote Control Failure Modes *

Not communicating – R301

Reversing Valve Failure Modes *

Leak – R401
Noise – R402
Pilot Tube Leak – R403
Slow Shift – R404
Solenoid failure – R405
Won’t Shift – R406

Service Valve Failure Modes *

Adapter connection issue – S101
Leak – S102
Seized stem – S103
Stripped stem – S104
Stuck / broken valve core – S105

Solenoid Failure Modes *

Chattering – S201
Leak – S202
Open – S203
Shorted -S204
Valve stuck closed – S205
Valve stuck open – S206

Smoke Detector Failure Modes *

Defective – S301
Internal short – S302
Not sensing – S303
Repeated alarm fault – S304

Switch Mechanical Failure Modes *

Will not close – S401
Will not open – S402

Sensors, Def, Hall, Enthaply, Flame Failure Modes *

Hall Inducer mtr failure – H101
Hall No feedback to IGC board – H102
Enthalpy – No 2nd stage cooling – E301
Enthalpy – not switching – E302
Enthalpy – will not energize – E303
Defrost sensor – no call for heat – D201
Defrost sensor – not energizing fan relay – D202
Defrost sensor – not sensing – D203
Defrost sensor – open – D204

Temperature/Pressure Gauge Failure Modes *

Out of calibration – T101
Leak – T102

Temperature Switch Failure Modes *

Out of range – T201
Stuck closed – T202
Stuck open – T203

Thermistor Failure Modes *

Cracked – T401
Resistance out of range – T402
Wiring issue – T403

Tstat, Aquastat, Freezestat, SAMod Failure Modes *

Blinking display – T601
Broken pigtail – T602
No back light – T603
Not controlling properly – T604
Not staging correctly – T605
Won’t power up – T606
SAM fail to communicate – S501
SAM won’t power up – S502
Freezestat Faulty- F301
Freezestat Malfunction – F302
Freezestat Stuck open – F303
Aquastat Hi limit – stuck closed – A402
Aquastat Hi limit – stuck open – A403
Aquastat no relay output – A404

Transformer Failure Modes *

Noise – T701
Odor/hot – T702
Open – T703
Shorted – T704

Diagnosis/Service Performed: *

Please provide a detailed description of how the part failed and what diagnostic steps were used to determine the failure mode.

Any supporting documentation you would like to add?

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Are you working with a Customer Assurance Manager on a Case? *

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Case# (Salesforce Case#)

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