LG Warranty Claim Form All Fields Required. Without this information, we will not be able to file the warranty. All credits go to Corporate Bill To. AC SUPPLY LG WARRANTY TERMS*WARRANTIES THAT WILL BE COMPLETED WITHOUT A PROCESSING FEE: • Equipment that is purchased from AC Supply. - AND - • Equipment is registered with the manufacturer, and AC Supply verifies the warranty to be active. IF THE ABOVE CRITERIA ARE NOT MET, A $50.00 PROCESSING FEE WILL BE ASSESSED. ADDITIONAL TERMS: • Warranty parts will only be ordered with a completed Warranty Form. • A credit will only be issued with a completed Warranty Form. • The Warranty Form must be completed before the contractor takes possession of replacement parts. The credit will not be issued if the Warranty Form is completed afterward. • The customer is responsible for all freight costs of warranty parts. • Defective part(s) must be returned within seven (7) days of the contractor taking possession of warranty part(s), or the credit will not be issued. • If special ordered warranty parts are not picked up within 14 days, a 50% restocking fee will be charged, and parts will be shipped back to the manufacturer. Note: Customer is responsible for both incoming and outgoing freight costs on all returned parts • All Warranty Processing Fees for COD customers will be deducted from warranty part credit if not paid up-front. ACCEPT Warranty FormProcessing Fee* I agree to a $50 processing fee to process a parts order Special Order Items are Final Sale*(Not Returnable or Refundable) I agree PRODUCT INFORMATIONMODEL OF UNIT:*Upload Picture of Model NumberMax. file size: 512 MB.SERIAL # OF UNIT:*Upload Picture of Serial NumberMax. file size: 512 MB.CONTRACTOR PURCHASE DATE / INSTALL DATE:* Month Day Year INVOICE NUMBER FROM ORIGINAL PURCHASECONTRACTOR INFORMATION:CONTRACTOR / TECHNICIAN COMPANY:*CONTRACTOR / TECHNICIAN CONTACT:* First Last CONTRACTOR ADDRESS:* Street Address City State / Province / Region ZIP / Postal Code Email* JOB SITE INFORMATION:HOMEOWNER NAME:*HOMEOWNER ADDRESS* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* WARRANTY INFORMATIONPARTS NEEDED:Has this part been purchased for warranty replacement?* Yes Not Yet ERROR CODE:*Issue*Below is a list of common issues, please select one or if your issue is not listed select other and list the specific issue.Error Message DisplayedUnit has power but does not operateNoise or VibrationLeakingMotor Lock-upOtherWorked Performed:*Please be specific: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 #:*Pick-Up / ShippingPlease fill out the location you want your part shippedWhen my part arrives:Please ship to meI will pick-upIf picking up, please select location: Downtown Arlington Westside N. Fort Worth This field is hidden when viewing the formName First Last This field is hidden when viewing the formAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country SHIPPING FEE I agree to the shipping fee (for products out of stock only) I agree to pay the fee to have the product shipped to me **COD Customer Must Pay for Parts Prior to Shipping. Payments are accepted in store and over the phone