For Your Records

To assist us in any Guarantee claim please complete the following information:-

Stovax dealer appliance was purchased from

Name:..................................................................................................................................................................

Address:...............................................................................................................................................................

............................................................................................................................................................................

Telephone number: .............................................................................................................................................

Date installed:......................................................................................................................................................

Model Description: ..............................................................................................................................................

Serial number: .....................................................................................................................................................

Installation Engineer

Company name: .....................................................................................................................................................................

Address: ..................................................................................................................................................................................

...............................................................................................................................................................................................

Telephone number: ................................................................................................................................................................

Commissioning Checks (to be completed and signed)

Is flue system correct for the appliance	YES	NO
Flue swept and soundness test complete	YES	NO
Smoke test completed on installed appliance	YES	NO
Spillage test completed	YES	NO
Use of appliance and operation of controls explained	YES	NO
Instruction books handed to customer	YES	NO

Signature:

Print name: