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First name.
*
Last name.
*
Cell Phone Number.
*
Email address.
*
Enter your street address
*
Enter your City and Postal Code
*
No spaces allowed in city name, use space or comma to advance to postal code.
Warranty Provider
*
Choose one
Samsung
Electrolux
LG
Dacor
Frigidaire
Miele
Maytag
Whirlpool
Bosch
Media
Other
Repair ticket number #
*
Type of Appliance
*
Choose one
Built in Oven
Dishwasher
Dryer
Microwave
Range Hood
Refrigerator
Stove
Washer
Appliance Brand
*
Model Number
*
Serial Number
*
Is the appliance a stacked washer dryer that you are not able to unstack prior to our visit?
*
Yes
No
Is the appliance gas?
*
Yes
No
Please remember all photos must be legible.
Acceptable file formats are .jpg, .png, .gif, .jpeg. The problem box also accepts .mp4.
When filling this form in on a mobile device clicking Browse will also allow you to take a picture with the camera.
Take a picture or upload your model and serial number tag.
*
×
Drag and drop files here or
Browse
A detailed description of the problem (25-255 letters, minimum 5 words).
*
Take or upload up to five (5) picture of the part failure.
*
×
Drag and drop files here or
Browse
Take or upload pictures of the property damage. (3 minimum 10 maximum).
*
×
Drag and drop files here or
Browse
Can you supply a short video of the problem, broken or detached parts?
*
Yes
No
Take or upload a short video of the problem, broken or detached parts (if you do not have a video upload a second picture).
*
×
Drag and drop files here or
Browse
Click here to complete the app and send the information to the repair centre. Incomplete or illegible information will result in delay in repair.
Help me find my model and serial number tag.
Dishwasher Tag
Dishwasher model and serial tags located on the inside frame on the opening of the door on the left or top of door by controls
Refrigerator Tags
Refrigerator model tag located inside the fridge compartment on the left hand side
Stove Tag
Stove model tag located under the cooktop lip. Stove model tag open the drawer on the left or right hand side by the legs.
Built in oven Tag
Built in oven model tag located on the frame on the left side when you open the oven door
Front Load Washer - Dryer Tag
Front load Washer Dryer model and serial tags located when you open the door on the frame of the opening
Top Load Washer Tag Lid
Top load washer model located on the inside of the lid.
Top Load Washer Tag Top
Top load washer model located on the top of the control panel.
Microwave Tag
Microwave located on the frame when you open the door
Website
Dishwasher Tag
Dishwasher model and serial tags located on the inside frame on the opening of the door on the left or top of door by controls
Refrigerator Tags
Refrigerator model tag located inside the fridge compartment on the left hand side
Stove Tag
Stove model tag located under the cooktop lip. Stove model tag open the drawer on the left or right hand side by the legs.
Built in oven Tag
Built in oven model tag located on the frame on the left side when you open the oven door
Front Load Washer - Dryer Tag
Front load Washer Dryer model and serial tags located when you open the door on the frame of the opening
Top Load Washer Tag Lid
Top load washer model located on the inside of the lid.
Top Load Washer Tag Top
Top load washer model located on the top of the control panel.
Microwave Tag
Microwave located on the frame when you open the door
