Service Request Form

Please fill out all details and submit to our service department. Our service department will contact you by phone shortly after form has been submitted. Parts covered if heatpump and HRV system within warranty. Credit/Debit card details will be requested by our service department prior to all call outs.

Callout Type *

Unitherm Project Number (On drawings or correspondence)

Your answer

Home Owner Details

Name *

Your answer

Townland *

Your answer

Town/City *

Your answer

County *

Eircode https://finder.eircode.ie/#/ *

Your answer

Phone Number *

Your answer

E-Mail Address. *

Your answer

Heating System Details

Heating System Issues (If Any)

Please note. Any plumbing or electrical issues will need to be resolved by contact Installer / Electrician

Fault Codes Present

Your answer

Electricity Tariff *

Please add any relevant notes here

Your answer

I confirm that the information provided in this form is true, complete and accurate. *

I am happy for Unitherm to contact me when my annual service is due and to store my contact and heating system details provided for the lifetime of my heatpump. *

Thank You

Submit

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.