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Home
About
Gallery
Blog
Services
AC Repair & Maintenance
Heating Repair & Maintenance
Ductwork
Hand Fabrication
Annual Service Agreements
Locations
Ashland
Boonville
Bunceton
Centralia
Clark
Columbia
Eastville
Hallsville
Our Vendors
Contact
Pay Online
Installer Checklist
Internal Customer Information
Permit #
*
Job #
*
Customer
*
Sub Name / Description
Address/Location
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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New Mexico
New York
North Carolina
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Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
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South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
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Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Phone
*
(Optional) Attach PDF Write-up
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Check if using Ameren Electric
Ameren Electric
Assign to Technician:
*
Jim Gerhardt
Josh Dungan
Brandon Young
Aaron Fairley
Dave Wallen
Taylor Glenn
Jesse Popp
Lift Division
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Jim Gerhardt
This field is hidden when viewing the form
Josh Dungan
This field is hidden when viewing the form
Brandon Young
This field is hidden when viewing the form
Aaron Fairley
This field is hidden when viewing the form
Dave Wallen
This field is hidden when viewing the form
Taylor Glenn
This field is hidden when viewing the form
Jesse Popp
This field is hidden when viewing the form
Lift Division
TECH TO FILL OUT FORM BELOW:
Indoor Unit
Type of Unit
Choose:
Gas Furnace
Electric Air Handler
Choose
New
Existing
MOD:
SER:
Indoor Coil/Heat Kit
Type of Unit
Choose:
Evaporator Coil
Electric Heat Kit
Choose
New
Existing
MOD:
SER:
Outdoor Unit
Type of Unit
Choose:
Heat Pump
Air Conditioner
Choose
New
Existing
MOD:
SER:
Humidifier
Choose
New
Existing
MOD:
Thermostat
Choose
New
Existing
Filter
Filter Size:
Additional Info
Extras:
Checklist
Yard Sign Displayed
Yes
No
CO2 Detectors Installed
Yes
No
Locking Service Caps Installed
Yes
No
Furnace Fired
Yes
No
Gas Pressure W.C.
Vent Length (Incl. bends)
Outdoor Unit Fired
Yes
No
Freon Added To System
Lineset Length
HP Lockout Temp
# of Supply?
Return?
Installed Literature Holder
Yes
No
Take Pictures
Yes
No
Startup Sheet Complete
Yes
No
Jobsite Clean
Yes
No
System Overview With Customer
Yes
No
Ameren Electric *
The two temperature fields listed below are required and must be filled out.
Temp Before Existing Coil *
Temp After Existing Coil *
