Return Goods Authorization Request Form
Completion and submission of this information will allow Texas Furnace to determine the eligibility of the component of part for replacement warranty. In order for Texas Furnace to process the information in a timely manner, please provide complete information. Products must be warranted through a wholesale distributor that has an open account with Texas Furnace. Once the information is received by Texas Furnace, a determination of eligibility for warranty will be made and if the product is eligible for warranty, a Return Authorization will be provided to the requesting wholesaler with shipping instructions.
Please provide the following wholesaler information
Company Name
Street Address
City, State, Zip Code
Phone Number
Fax Number
Email Address
Please provide the following installer information
Organization
Street Address
City, State, Zip Code
Phone Number
Fax Number
Email Address
Please provide the following home owner information
Name
Street Address
City, State, Zip Code
Phone Number
Email Address
Please provide the following information concerning the warranty item.
Damage to Item
Leak in Finned Area
Leak in Return Bend
Leak in Manifold
Leak in Distributor
Defective Drain Pan
Defective Component (Describe Below)
Other (Describe Below)
Other Description
Date of Original Installation
Date of Component Failure
Old Model Number
Old Serial Number
Replacement Model Number
Replacement Serial Number