FOR YOUR RECORDS
To assist us in any Guarantee claim please complete the following information:-
Dealer appliance was purchased from
Name:......................................................................................................................................................................................
Address:...................................................................................................................................................................................
................................................................................................................................................................................................
Telephone number:.................................................................................................................................................................
Essential Information - MUST be completed
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 |
Appliance fixed to hearth | 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: | ................................................................ |
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