Warranty Form

For your convenience, you can easily fill out and submit our warranty form below.

****NOTE - Items with asterisk are REQUIRED for ALL claims, including parts warranty. Failure to provide ALL of the required information will result in payment delays.
Brand associated with this warranty:*
- Rheem
- Mitsubishi
- Copeland
- LG
RMPO*
Claim # (filled out by Young Supply)
Credit OE
Replacement OE
Failed Unit Model*
Failed Unit Serial #*
Failed Unit Install Date*
MM slash DD slash YYYY
Failed Date*
MM slash DD slash YYYY
Unit Location*

(What side of house, On a stand, On a roof? etc.)
Servicer Name*
First Last
Company Name*
Servicer Business Address*
Street Address Address Line 2 City State ZIP Code
Name or Homeowner or Business Owner at Install Location*
First Last
Homeowner/Business Owner Install Address*
Street Address Address Line 2 City State ZIP Code
Installation type:*
- New
- Existing
Complaint/Diagnosis*
Failed Part Number*
Replacement Model Number*
Replacement Serial Number*
Part Serial # if compressor or "A" coil
Nature of Failure ("DOA", "Bad out of Box", or "Doesn't work" are unacceptable)*
Explanation of Service Performed*
Name of Person completing this form*
First Last
Email Address*
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.