Labor Allowance Request

Thank you for visiting the Labor Allowance Request form. Please note your unit must be registered prior to completing this form.

Labor Allowance Request

Model(Required)

Serial Number(Required)

Date of Visit(Required)

Contractor Company(Required)

Technician Name(Required)

Contractor Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contractor Contact Number(Required)

Contractor Email Address(Required)

Installation Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Upload Internal Revenue Service W-9 Form(Required)

*Required for all US persons as defined in Internal Revenue Service Form W-9 Request for Taxpayer Identification Number and Certification Instructions.

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 500 MB.

Labor Request(Required)

$135 for Parts Replacement

$400 for Heat Exchanger Replacement

$500 Monarch Tank

Description of Work

Please allow 4-6 week for processing upon arrival.

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