Contractor
Steam Humidifier Product Recall Service Reimbursement Request
Request US$200 service reimbursement after installing a Steam Humidifier Safety Recall Repair Kit.
This offer is valid for contractors in the United States and Canada. Fill out the form completely and submit along with:
1. Valid photo of a pair of cut electrode wires showcasing the “D” shape for each Steam Humidifier repair kit installed at this address. The photo must be clear and identifiable. Unclear or blurred photos will not be accepted.
2. Valid "no charge" invoice for the service work that includes the full business name and address and the full service address.
Contractor/Technician First and Last Name
Company Name
Company Address
Contractor/Technician Phone Number
Contractor/Technician Email Address
Number of units serviced at this address
Please select
1
2
3
4
Please select
Date Service was Performed
6/22/23 or later
06
/
22
/
2023
Service Address
Which Brand is/are the Steam Humidifier(s)?
AprilAire
Coleman
Luxaire
Bryant
Carrier
York
What is/are the Product's Serial Number(s)?
Upload a valid "no charge" invoice
(submit image of receipt)
Delete all uploads
Choose files or drag here
Upload a valid photo of the cut "D" shaped connector wires from each unit serviced
Delete all uploads
Choose files or drag here
Additional Information
Submit Form
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