BOILER SRV/BRK FORM

OIL BOILER SERVICE & BREAKDOWN FORM.

This form is for booking a domestic oil boiler service or breakdown. You will NEED to provide the boiler manufacturer & serial number if known. A photo of the boiler would be great help also. Please fill in the booking form below and we will do our best to get you booked in as soon as possible.

Name

First Name

Last Name

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date

YYYY

Boiler Manufacturer & Model

Please state the manufacturer on the boiler the burn has come from

Boiler Serial Number

Please state the boiler serial number if you know it.

When was the boiler last serviced?

YYYY

Which are you booking? Service or Breakdown

Pick 'Service' if the boiler is working and you would like an annual service Pick 'Breakdown' if the boiler isn't working and you KNOW it is the boiler and not another part of the heating system.

Service

Breakdown

Notes relating service / breakdown

Please state anything here that can assist in the repair

PLEASE READ AND CONFIRM

We will only carry out the service / breakdown if the boiler is accessable at the time of arrival as you will be charged for any time wasted clearing way to the boiler. We have the right to not carry out a booked service or breakdown if the boiler is not in a safe condition. If you are booking a service we will carry out a service only. If the boiler isnt running or hasn't been running on arrival we will either cancel the service or charge you for a breakdown call out. Please tick 'I AGREE' to confirm you understand.

I AGREE