Weil-McLain Canada

Ultra Gas Boiler New Warranty Program

This form is for Ultra Residential Gas Boilers only.

To make a claim on any other product please use the General RGA form..

This form must be completed in full.

Stating “defective” is not a sufficient reason for return. Please describe the nature of the defect.
CP number is mandatory. If necessary, call customer service for assistance.

If all required information is provided and/or digital photos have been emailed, replacement part(s) will be shipped out immediately to the address indicated below.

The following terms and conditions apply:

Part will be no charge if the boiler is less than 5 years old.
Shipping is the responsibility of the end user. The part will be shipped prepaid and charge.
The defective part is not required to be returned.

Fields marked with a * are mandatory.

Customer Information

Contact Name: *

Customer
(Company): *

Street Address: *

City: *

Province: *

Postal Code: *

Phone: *

Customer Purchase Order:

Email: *

Shipping Address

If the customer has an account with a courier please enter the name and account number below, otherwise the product will be shipped UPS prepaid and charge.

Courier Name:

Courier Account Number:

Shipping address is the same as the customer address above:

Name:

Street Address:

City:

Province:

Postal Code:

Phone:

Claim Information

Ultra Gas Boiler Model: *

CP Number: *

Look up a CP number for manufacturing date information.

Date of Installation (dd/mm/yyyy): *

Please enter at least one and a maximum of three part numbers that you are making the warranty claim for.

Part Number: *

Briefly describe this part: *

Part Number:

Briefly describe this part:

Part Number:

Briefly describe this part:

Find more information on parts and part numbers.

Reason for Return or State Defect: *

Name of Home Owner :

Home Owner Street Address:

Home Owner City:

Home Owner Province:

If you can please attach up to three images showing the nature of the problem you are making a warranty claim for. This will help to expedite the replacement part.

Images must be in JPEG/JPG format and must be under 5MB.

Image: