LG Warranty Claim - AC SUPPLY CO.

All Fields Required. Without this information, we will not be able to file the warranty. All credits go to Corporate Bill To.

Today's Date*
Date Format: MM slash DD slash YYYY
Warranty Fee & Timing*
By checking the boxes below:
- I agree to a $25 fee for this warranty claim.
- This claim is being submitted within 2 weeks of placing the order for warranty parts.
PRODUCT INFORMATION
MODEL OF UNIT:*
Upload Picture of Model Number
SERIAL # OF UNIT:*
Upload Picture of Serial Number
CONTRACTOR PURCHASE DATE / INSTALL DATE:
MM
DD
YYYY
EQUIPMENT PURCHASED FROM AC SUPPLY STOCK
- YES
- NO
INVOICE NUMBER FROM ORIGINAL PURCHASE
CONTRACTOR INFORMATION:
CONTRACTOR / TECHNICIAN COMPANY:*
EXCELLENCE CONTRACTOR NUMBER:
CONTRACTOR / TECHNICIAN CONTACT:*
First Last
Email
Ship To City:
City State ZIP Code
JOB SITE INFORMATION:
JOB SITE NAME:*
JOB SITE ADDRESS*
Street Address City State ZIP Code
Phone*
WARRANTY INFORMATION
PARTS NEEDED:*
Has this warranty part been ordered?*
- Yes
- No
ERROR CODE:*
ISSUE:*
CASE NUMBER:
Please provide your Case Number from LG Tech Support, if you do not have a Case Number please provide the name of the AC Supply Representative or T.S.A Representative that assisted you with this technical issue.
Contractor PO #:*

**COD Customer Must Pay for Parts Prior to Shipping. Payments are accepted in store and over the phone

PRODUCT INFORMATION