Appliance Service Request

Customer Information

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Preferred contact method

Phone Call
Text Message
Email

Service-location type

Business or property name

Appliance Information

Appliance type

Enter the Appliance Type If You chose 'Other'

Manufacturer or brand

Enter the Manufactor or Brand if you chose 'Other'

Model Number

Serial Number

Model and serial-number photo

Drag & Drop Files, Choose Files to Upload

Required for factory-authorized, high-end, commercial, and fault-code calls. (Upload a clear, close-up photo showing the complete model and serial number label. Make sure the label is well-lit, readable, and not cut off.)

Full appliance photo

Drag & Drop Files, Choose Files to Upload

Upload a photo showing the complete appliance and how it is installed.

Choose Your Appliance Configuration

Washing Machine

Refrigerator

Freezer

Clothes Dryer

Dishwasher

Oven

Range

Cooktop or range top

Microwave

Ice maker or ice machine

Reported Problem

Describe the appliance problem

Describe exactly what the appliance is doing or not doing, when it began, and whether it is constant or intermittent.

When did the problem begin?

Problem frequency

Constant, intermittent, or unsure.

Symptoms (Check all that Apply)

Fault-Code

Fault code

Enter exactly as shown on the display.

When does the code appear?

Describe when the code appears if you chose 'Other'

Fault-code photo

Drag & Drop Files, Choose Files to Upload

Upload a clear image showing the complete code exactly as displayed.

Apply Refrigeration Logic to

Currently plugged in and running?

Yes
No
Unplugged because of a safety concern.

How long operating continuously?

Less than 12 hours
12-24 hours
More than 24 hours
Not currently operating

Current refrigerator temperature

Apply) Fees Logic

Current freezer temperature

Which area is not cooling?

Frost or ice buildup?

Yes
No
Unsure

Unusually hot exterior area?

Heat severity

Slightly warm
Very warm
Too hot to comfortably touch
Smoke, sparking, melting, or burning odor present

Unless the appliance is overheating, smoking, sparking, producing a burning odor, or presenting another safety concern, please leave it plugged in and operating continuously for at least 24 hours before the technician arrives.

Water-Leak and Property-Damage Logic

Is the leak active?

Yes
No
Intermittent
Unsure

When does it leak?

Where does the water first appear?

Reported property damage

Describe the damage

Upload Photo

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Initial leak location, surrounding floor, visible connection, damage, and wider room view. *Do not recreate the leak, move a heavy appliance, remove panels, stand in water near electrical equipment, or reach behind an energized appliance to obtain a photo.

Appliance Installation and Service Readiness

Normal operating location?

Yes
No
Unsure

Fully installed?

Yes
No
Unsure

Required connections

Accessible for service?

Yes
No
Unsure

Required acknowledgments

The appliance must be installed, accessible, and connected to all necessary utilities for technician access.
The service-call fee is still due if the technician arrives and the appliance is not ready for testing.
An additional $75 reconnection fee may be charged if the technician needs to reconnect the appliance.

Appliance Pro will provide one return visit without an additional service-call charge within 30 days of the original service date when the original service-call fee has been paid and the same appliance is properly installed, connected, accessible, and ready for evaluation of the same reported issue. Repairs, parts, installation, reconnection, and correction of utility or installation problems are not included.

Authorized adult present?

Yes
No
Prior arrangements are needed

Pets

No pets
Pets will be secured at all times

Access conditions

Entry instructions

Warranty and Factory-Authorized Service

Appliance Pro is factory authorized for: Sub-Zero, Wolf, Cove, Bosch, Thermador, Gaggenau, Siemens, U-Line, Scotsman, and Dacor.

Believed to be under warranty?

Yes
No
Unsure

Approximate purchase date

Proof of purchase available?

Yes
No
Unsure

Manufacturer contacted?

Yes
No

Manufacturer case number

Manufacturer dispatch number

Authorization number

Previously serviced by Appliance Pro?

Yes
No
Unsure

Previously serviced by another company?

Yes
No
Unsure

Factory authorization does not automatically confirm warranty coverage. Warranty eligibility is determined according to the manufacturer’s terms and authorization requirements.

Service Fees

Required acknowledgments

I understand that the service call covers technician travel time and professional evaluation of the reported issue. I am responsible for either the applicable service-call fee and additional-appliance fees or the total authorized repair cost.
Payment is due at the time of service unless alternative arrangements have been approved in advance by Appliance Pro Management.
Credit-card and debit-card payments are subject to a 3% surcharge where permitted.
Communication consent: I authorize Appliance Pro to contact me by phone, text message, or email regarding this service request and appointment.Photo and service-record consent: I authorize Appliance Pro to retain the information and photos submitted as part of the service record.
Accuracy confirmation: I confirm that the information provided is accurate to the best of my knowledge.