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FOR YOUR RECORDS
T
o assist us in any Guarantee claim please complete the following information:-
Is flue system correct for the appliance YES NO
Flue swept and soundness test complete YES
NO
Smoke test completed on installed appliance YES NO
Spillage test completed YES NO
Use of appliance and operation of controls explained
YES NO
Instruction books handed to customer YES NO
Signature:
........................................................................................
Print name:
...............................................................
Company name: ......................................................................................................................................................................
Address:...................................................................................................................................................................................
................................................................................................................................................................................................
Telephone number:
.................................................................................................................................................................
Date installed:..........................................................................................................................................................................
Model Description:
..................................................................................................................................................................
Serial number: .........................................................................................................................................................................
Name: .....................................................................................................................................................................................
A
ddress:...................................................................................................................................................................................
................................................................................................................................................................................................
Telephone number: .................................................................................................................................................................
Stovax dealer appliance was purchased from
Essential Information - MUST be completed
Installation Engineer
Commissioning Checks (to be completed and signed)