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.
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:
Fields marked with a * are mandatory.
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.
Look up a CP number for manufacturing date information.
Please enter at least one and a maximum of three part numbers that you are making the warranty claim for.
Find more information on parts and part numbers.
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.