REPAIR BOOKING FORM

BURNER REPAIR FORM.

This form is for booking a domestic oil burner repair. You will need to provide the boiler manufacturer/serial number. Please fill in the booking form below and we will do our best to repair the burner within 24hrs of receiving the burner.

Name

First Name

Last Name

Phone Number

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

Burner Nozzle Size / Pattern

Please state the burner nozzle size and pattern suitable to the Kw the boiler is setup for

Notes relating to the breakdown

Please state anything here that can assist in the repair

PLEASE READ AND CONFIRM

We are unable to setup the burner to the boiler it came from & you will have to adjust it to suit the boiler when onsite. We take no responsibility for incorrectly setup burners as this is a repair service ONLY. The burner will be repaired and setup to run safely in our test jig. Please tick 'I AGREE' to confirm you understand.

I AGREE

PLEASE READ AND CONFIRM

You must be a competent person and be able to remove and deliver the oil burner safely. leaving the customers boiler in a safe condition. We will not be held liable. You must deliver the burner to our unit and collect once the repair is made. You also agree that you know the burner is the issue with the heating system. You understand we are not liable if something else is the cause of the heating system having failed and you will still be charged for using our services. Please tick 'I AGREE' to confirm you have read and agree

I AGREE