Return Authorization ; Please complete the form below to register your clients geothermal system. Return Authorization Form Please enable JavaScript in your browser to complete this form.Contractor Name *Contractor Address *Contractor City *Contractor State *Contractor Postal Code *Contractor Phone *Email Address of Person Making this Request *Invoice Number *Part Number *Part Quantity *Multiple Returns on This Invoice? *NoYes2nd Part Number2nd Part Quantity3rd Part Number3rd Part Quantity4th Part Number4th Part QuantityPart Status *NewDefectiveModel Number *Serial Number *Homeowner's NameHomeowner's AddressAddress Line 1CityHomeowner's StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of InstallationMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Reason for the Return (Please explain)PhoneSubmit